# STATEN ISLAND PAIN & REHABILITATION, P.C.

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

## Provider details

- **NPI number:** 1508146341
- **Authorized official:** DR. JONATHAN LEUNG D.O. (PRESIDENT)
- **Authorized official phone:** (516) 967-6255

## Contact information

- **Practice address:** 4247 RICHMOND AVE, LOWER LEVEL, STATEN ISLAND, NY 10312-6220
- **Practice address phone:** (718) 966-7246
- **Practice address fax:** (718) 966-7247
- **Mailing address:** 4247 RICHMOND AVE, LOWER LEVEL, STATEN ISLAND, NY 10312-6220
- **Mailing address phone:** (718) 966-7246
- **Mailing address fax:** (718) 966-7247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | A-243211-1 | NY | Yes |

## Other

- **Enumeration date:** 08/24/2011
- **Last updated:** 01/04/2012