Organization
STATEN ISLAND PAIN & REHABILITATION, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN LEUNG D.O. (PRESIDENT)
(516) 967-6255
Entity
Organization
Contact information
Practice address
4247 RICHMOND AVE, LOWER LEVEL, STATEN ISLAND, NY 10312-6220
(718) 966-7246
(718) 966-7247
Mailing address
4247 RICHMOND AVE, LOWER LEVEL, STATEN ISLAND, NY 10312-6220
(718) 966-7246
(718) 966-7247
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A-243211-1
NY
Other
Enumeration date
08/24/2011
Last updated
01/04/2012
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