# PHYSICAL MEDICINE & REHABILITATION MEDICAL SERVICE GROUP

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

## Provider details

- **NPI number:** 1275609810
- **Authorized official:** ROBERT J WEBER MD (CHAIRMAN)
- **Authorized official phone:** (315) 464-5820

## Contact information

- **Practice address:** 750 E ADAMS ST, SYRACUSE, NY 13210-2306
- **Practice address phone:** (315) 464-5820
- **Practice address fax:** (315) 464-8699
- **Mailing address:** 251 SALINA MEADOWS PKWY, SUITE 100, SYRACUSE, NY 13212-4584
- **Mailing address phone:** (315) 464-2014
- **Mailing address fax:** (315) 464-2010

## Taxonomy

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

## Other

- **Enumeration date:** 11/27/2006
- **Last updated:** 08/22/2020