Organization
SUFFOLK REHABILITATION MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIKE M PAPPAS DO (PRESIDENT)
(917) 494-0914
Entity
Organization
Contact information
Practice address
806 E MAIN ST, RIVERHEAD, NY 11901-2563
(631) 591-0840
(631) 591-0841
Mailing address
PO BOX 1795, HUNTINGTON, NY 11743-0468
(917) 494-0914
(631) 591-0841
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
222059
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE8418
RAILROAD MEDICARE
NY
Enumeration date
05/25/2006
Last updated
04/29/2024
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