# RELIANCE MEDICAL REHABILITATION, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003041047
- **Authorized official:** MR. TIMOTHY RAYMOND DAMADIAN (PRESIDENT)
- **Authorized official phone:** (516) 454-0700

## Contact information

- **Practice address:** 3963-3965 JOG ROAD, LAKE WORTH, FL 33467-0000
- **Practice address phone:** (877) 225-5876
- **Mailing address:** 125 NEWTOWN RD, SUITE 200, PLAINVIEW, NY 11803-4314
- **Mailing address phone:** (516) 454-0700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/20/2009
- **Last updated:** 05/20/2009