# NEW YORK NEURO REHABILITATION GROUP PLLC

> 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:** 1366624793
- **Authorized official:** MR. TERRY MANN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (646) 230-9292

## Contact information

- **Practice address:** 508 W 26TH ST, 10 FLOOR, NEW YORK, NY 10001-5504
- **Practice address phone:** (646) 230-9292
- **Practice address fax:** (646) 230-9133
- **Mailing address:** 508 W 26TH ST, 10 FLOOR, NEW YORK, NY 10001-5504
- **Mailing address phone:** (646) 230-9292
- **Mailing address fax:** (646) 230-9133

## Taxonomy

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

## Other

- **Enumeration date:** 11/27/2007
- **Last updated:** 07/21/2022