# PHYSICAL MEDICINE & REHABILITATION MEDICAL SERVICE GROUP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1366533812
- **Authorized official:** ROBERT J WEBER MD (CHAIRMAN)
- **Authorized official phone:** (315) 464-5820

## Contact information

- **Practice address:** 550 HARRISON ST, SUITE 100, SYRACUSE, NY 13202-3188
- **Practice address phone:** (315) 464-6312
- **Practice address fax:** (315) 464-8524
- **Mailing address:** 550 HARRISON ST, SUITE 100, SYRACUSE, NY 13202-3188
- **Mailing address phone:** (315) 464-6312
- **Mailing address fax:** (315) 464-8524

## Taxonomy

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

## Other

- **Enumeration date:** 09/28/2006
- **Last updated:** 10/13/2010