Healthcare Provider Details

I. General information

NPI: 1760808802
Provider Name (Legal Business Name): LR MEDICAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2014
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2277-83 CONEY ISLAND AVE SUITE 2A
BROOKLYN NY
11223-3337
US

IV. Provider business mailing address

2277-83 CONEY ISLAND AVE SUITE 2A
BROOKLYN NY
11223-3337
US

V. Phone/Fax

Practice location:
  • Phone: 718-998-9890
  • Fax: 718-998-9891
Mailing address:
  • Phone: 718-998-9890
  • Fax: 718-998-9891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number StateNY

VIII. Authorized Official

Name: LEONID REYFMAN
Title or Position: DIRECTOR
Credential: M.D
Phone: 718-998-9890