Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deer Park Medical, PC

Organization Physical Medicine & Rehabilitation Physician · NPI 1518232115

Deer Park Medical, PC is a Physical Medicine & Rehabilitation Physician in Deer Park, New York. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2103 Deer Park Ave
Deer Park, NY 11729-1319
Phone: (631) 242-4500
Fax: (631) 617-6633
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X
Physical Therapist Taxonomy 225100000X

Record details

NPI number1518232115
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Demishev — Pc Owner · (631) 242-4500
NPI enumeratedMarch 14, 2012
Last updated in NPPESMarch 14, 2012
Mailing address2103 Deer Park Ave, Deer Park, NY 11729-1319

Other providers in Deer Park