# SKYLINE PHYSICAL MEDICINE & REHABILITATION PC

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

## Provider details

- **NPI number:** 1669924981
- **Authorized official:** DR. MICHAEL R MONFETT MD (OWNER/MEDICAL DIRECTOR)
- **Authorized official phone:** (516) 294-4590

## Contact information

- **Practice address:** 40 BROAD ST, SUITE 601, NEW YORK, NY 10004-2315
- **Practice address phone:** (212) 797-1200
- **Practice address fax:** (516) 248-2380
- **Mailing address:** 40 BROAD ST, SUITE 601, NEW YORK, NY 10004-2315
- **Mailing address phone:** (212) 797-1200
- **Mailing address fax:** (516) 248-2380

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 278621-1 | NY | Yes |

## Other

- **Enumeration date:** 11/03/2016
- **Last updated:** 11/03/2016