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

Long Island Physical Medicine and Rehab I, PC

Organization Physical Medicine & Rehabilitation Physician · NPI 1306098991

Long Island Physical Medicine and Rehab I, PC is a Physical Medicine & Rehabilitation Physician in Jericho, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
Specialties on file
4
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

380 N Broadway Ste 307
Jericho, NY 11753-2109
Phone: (516) 933-3300
Fax: (516) 933-1039
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 · Licence 168280-1 (NY)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 196772-1 (NY)
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X · Licence 196772-1 (NY)
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X · Licence 168280-1 (NY)

Record details

NPI number1306098991
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jay Weiss — Owner · (516) 579-6700
NPI enumeratedOctober 15, 2008
Last updated in NPPESAugust 18, 2022
Certification dateAugust 18, 2022
Mailing address575 Underhill Blvd, Suite 130, Syosset, NY 11791

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