Individual provider · Type 1 NPI
Jack Italiano Iii, DO
Sports Medicine (Family Medicine) Physician · New Hyde Park, NY
Practice location
1999 Marcus Ave Ste 202
New Hyde Park, NY 11042-1021
Fax (646) 754-9820
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 327932 (NY) |
| Sports Medicine (Family Medicine) Physician Primary | 207QS0010X | 327932 (NY) |
Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…
Another provider at this address
About NPI 1629606124
Jack Italiano Iii, DO's National Provider Identifier is 1629606124, issued on Mar 30, 2020. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in New Hyde Park, NY. The record was last updated on Apr 2, 2025.