Island Wide Medical Health Services. PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

183817 Issued in NY

Legal business name

ISLAND WIDE MEDICAL HEALTH SERVICES. PC

Practice address

207 Hallock Rd
Suite 160
Stony Brook, NY 11790-3033

Phone

(631) 751-5588

NPI assigned

Jun 25, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Matthew J Viso, DC

Title

Chiropractor

Phone

(631) 751-5588

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720014277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 HALLOCK RD",
            "address_2": "SUITE 160",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903033",
            "telephone_number": "631-751-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 HALLOCK RD",
            "address_2": "SUITE 160",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903033",
            "telephone_number": "631-751-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND WIDE MEDICAL HEALTH SERVICES. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VISO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "631-751-5588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "183817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Demiana Ishak, DPM
• Huseyin Isildak, M.D
• Abeer Islam, M.D.
• Rayeed Islam, MD
• Island Chiropractic Pain Care
• Ahmed Ismail, MD
• Danielle Itshaik
• Igor Izrailtyan, M.D.
• J Robert Quilty PHD Psychologist PC
• Melissa Jaber

• Family Medicine Physician in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.