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Search › New York › Sports Medicine (Family Medicine) Physician

Jack Italiano, DO

NPI 1629606124 · on the registry since 2020

Practice

Address
1999 Marcus Ave Ste 202
New Hyde Park, NY 11042
Phone
(516) 467-8600
Fax
(646) 754-9820
Organisation at this address
Nslij
B Wieder M.D. Pllc
Nyu Langone Hospitals
Robert A Jason Md Pllc
Black Hall Dental, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
85

Registry record

Primary taxonomy
Sports Medicine (Family Medicine) Physician
207QS0010X
Also registered as
Orthopaedic Surgery Physician
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-04-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York