# REHABILITATION ASSOCIATE OF LI PHYSICAL MEDICINE PLLC

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

## Provider details

- **NPI number:** 1619367844
- **Authorized official:** DR. WALTER JAMES GAUDINO M.D. (OWNER)
- **Authorized official phone:** (516) 864-0557

## Contact information

- **Practice address:** 3601 HEMPSTEAD TPKE STE 503, LEVITTOWN, NY 11756-1376
- **Practice address phone:** (516) 864-0557
- **Practice address fax:** (516) 864-0559
- **Mailing address:** 3601 HEMPSTEAD TPKE STE 503, LEVITTOWN, NY 11756-1376
- **Mailing address phone:** (516) 864-0557
- **Mailing address fax:** (516) 864-0559

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 185629-1 | NY | Yes |

## Other

- **Enumeration date:** 01/26/2015
- **Last updated:** 05/16/2024