Organization
REHABILITATION ASSOCIATE OF LI PHYSICAL MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER JAMES GAUDINO M.D. (OWNER)
(516) 864-0557
Entity
Organization
Contact information
Practice address
3601 HEMPSTEAD TPKE STE 503, LEVITTOWN, NY 11756-1376
(516) 864-0557
(516) 864-0559
Mailing address
3601 HEMPSTEAD TPKE STE 503, LEVITTOWN, NY 11756-1376
(516) 864-0557
(516) 864-0559
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
185629-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01258511
—
NY
Enumeration date
01/26/2015
Last updated
05/16/2024
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