# PHYSICAL MEDICINE & REHABILITATION OF BROOKHAVEN, PC

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

## Provider details

- **NPI number:** 1477710994
- **Authorized official:** DR. DANIEL SHAPIRO MD (PRESIDENT)
- **Authorized official phone:** (631) 654-2473

## Contact information

- **Practice address:** 268 MEDFORD AVE, PATCHOGUE, NY 11772-1221
- **Practice address phone:** (631) 654-2473
- **Practice address fax:** (631) 654-0217
- **Mailing address:** 268 MEDFORD AVE, PATCHOGUE, NY 11772-1221
- **Mailing address phone:** (631) 654-2473

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | 125974-1 | NY | Yes |

## Other

- **Enumeration date:** 05/21/2008
- **Last updated:** 02/11/2013