# LONG ISLAND PHYSICAL MEDICINE AND REHAB I, P.C.

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

## Provider details

- **NPI number:** 1306098991
- **Authorized official:** JAY M WEISS M.D. (OWNER)
- **Authorized official phone:** (516) 579-6700

## Contact information

- **Practice address:** 380 N BROADWAY STE 307, JERICHO, NY 11753-2109
- **Practice address phone:** (516) 933-3300
- **Practice address fax:** (516) 933-1039
- **Mailing address:** 575 UNDERHILL BLVD, SUITE 130, SYOSSET, NY 11791
- **Mailing address phone:** (516) 933-3300
- **Mailing address fax:** (516) 933-1039

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 168280-1 | NY | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | 196772-1 | NY | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 168280-1 | NY | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 196772-1 | NY | — |

## Other

- **Enumeration date:** 10/15/2008
- **Last updated:** 08/18/2022