# KALTER PHYSICAL MEDICINE & REHABILITATION PC

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

## Provider details

- **NPI number:** 1720526999
- **Authorized official:** DR. MATTHEW KALTER MD (OWNER/MEDICAL DIRECTOR)
- **Authorized official phone:** (631) 361-5300

## Contact information

- **Practice address:** 496 SMITHTOWN BYP, SUITE 200, SMITHTOWN, NY 11787-5005
- **Practice address phone:** (631) 361-5300
- **Practice address fax:** (631) 361-5301
- **Mailing address:** 496 SMITHTOWN BYP, SUITE 200, SMITHTOWN, NY 11787-5005
- **Mailing address phone:** (631) 361-5300
- **Mailing address fax:** (631) 361-5301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 238307 | NY | Yes |

## Other

- **Enumeration date:** 02/07/2017
- **Last updated:** 02/07/2017