Organization
LONG ISLAND PHYSICAL MEDICINE AND REHAB I, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY M WEISS M.D. (OWNER)
(516) 579-6700
Entity
Organization
Contact information
Practice address
380 N BROADWAY STE 307, JERICHO, NY 11753-2109
(516) 933-3300
(516) 933-1039
Mailing address
575 UNDERHILL BLVD, SUITE 130, SYOSSET, NY 11791
(516) 933-3300
(516) 933-1039
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
168280-1
NY
208100000X
Physical Medicine & Rehabilitation Physician
196772-1
NY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
168280-1
NY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
196772-1
NY
Other
Enumeration date
10/15/2008
Last updated
08/18/2022
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