# LONG ISLAND PHYSICAL REHABILITATION & SPORTS MEDICINE

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

## Provider details

- **NPI number:** 1487794640
- **Authorized official:** DR. MONTE A HABER M.D. (PRESIDENT)
- **Authorized official phone:** (516) 326-1950

## Contact information

- **Practice address:** 444 LAKEVILLE RD, SUITE 201, NEW HYDE PARK, NY 11042-1165
- **Practice address phone:** (516) 326-1950
- **Practice address fax:** (516) 326-2950
- **Mailing address:** 444 LAKEVILLE RD, SUITE 201, NEW HYDE PARK, NY 11042-1165
- **Mailing address phone:** (516) 326-1950
- **Mailing address fax:** (516) 326-2950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 191224 | NY | Yes |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 08/22/2020