Healthcare Provider Details

I. General information

NPI: 1548349384
Provider Name (Legal Business Name): LONG ISLAND PHYSICAL MEDICINE & REHABILITATION ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2920 HEMPSTEAD TURNPIKE
LEVITTOWN NY
11756
US

IV. Provider business mailing address

2920 HEMPSTEAD TURNPIKE
LEVITTOWN NY
11756
US

V. Phone/Fax

Practice location:
  • Phone: 516-579-6700
  • Fax: 516-579-6839
Mailing address:
  • Phone: 516-579-6700
  • Fax: 516-579-6839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: JAY M WEISS
Title or Position: PHYSICIAN
Credential: MD
Phone: 516-579-6700