# H AVELLA PMR MEDICAL PC

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

## Provider details

- **NPI number:** 1083925531
- **Authorized official:** HAROLD AVELLA MD (OWNER)
- **Authorized official phone:** (631) 846-4044

## Contact information

- **Practice address:** 1766 SUNRISE HWY, BAY SHORE, NY 11706-6042
- **Practice address phone:** (631) 666-4600
- **Practice address fax:** (631) 666-4605
- **Mailing address:** PO BOX 707, SELDEN, NY 11784-0674
- **Mailing address phone:** (631) 846-4044
- **Mailing address fax:** (631) 846-4044

## Taxonomy

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

## Other

- **Enumeration date:** 06/30/2010
- **Last updated:** 06/30/2010