Organization
LONG ISLAND PHYSICAL REHABILITATION & SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONTE A HABER M.D. (PRESIDENT)
(516) 326-1950
Entity
Organization
Contact information
Practice address
444 LAKEVILLE RD, SUITE 201, NEW HYDE PARK, NY 11042-1165
(516) 326-1950
(516) 326-2950
Mailing address
444 LAKEVILLE RD, SUITE 201, NEW HYDE PARK, NY 11042-1165
(516) 326-1950
(516) 326-2950
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
191224
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01777393
—
NY
Enumeration date
02/07/2007
Last updated
08/22/2020
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