Organization
PHYSICAL MEDICINE & REHABILITATION OF BROOKHAVEN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL SHAPIRO MD (PRESIDENT)
(631) 654-2473
Entity
Organization
Contact information
Practice address
268 MEDFORD AVE, PATCHOGUE, NY 11772-1221
(631) 654-2473
(631) 654-0217
Mailing address
268 MEDFORD AVE, PATCHOGUE, NY 11772-1221
(631) 654-2473
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
125974-1
NY
Other
Enumeration date
05/21/2008
Last updated
02/11/2013
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