Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Island Wide Medical Care PLLC

Organization Dermatology Physician · NPI 1558049577

Island Wide Medical Care PLLC provides Dermatology Physician services in Massapequa, New York. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

616 Broadway
Massapequa, NY 11758-5024
Phone: (516) 636-5021
Fax: (516) 636-5023
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1558049577
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Frank Suppa — Owner · (516) 636-5021
NPI enumeratedJuly 10, 2023
Last updated in NPPESJuly 11, 2023
Certification dateJuly 11, 2023
Mailing address138 Main St # 1009, East Rockaway, NY 11518-1702

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