Organization
LONG ISLAND SPINE REHABILITATION MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON S LIPETZ M.D (PRESIDENT)
(516) 393-8941
Entity
Organization
Contact information
Practice address
801 MERRICK AVE, EAST MEADOW, NY 11554-4748
(516) 393-8941
(516) 393-8870
Mailing address
801 MERRICK AVE, EAST MEADOW, NY 11554-4748
(516) 393-8941
(516) 393-8870
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
10/12/2006
Last updated
08/22/2020
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