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

New York Sport & Rehabilitation Medicine PC

Organization Physical Medicine & Rehabilitation Physician · NPI 1548443351

New York Sport & Rehabilitation Medicine PC is a Physical Medicine & Rehabilitation Physician in Great Neck, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
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

140 Middle Neck Rd
Great Neck, NY 11021-1246
Phone: (516) 829-3399
Fax: (516) 829-9500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 238359 (NY)

Record details

NPI number1548443351
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kioomars Moosazadeh — Owner · (516) 829-3399
NPI enumeratedDecember 14, 2007
Last updated in NPPESFebruary 5, 2020
Certification dateFebruary 5, 2020
Mailing address140 Middle Neck Rd, Great Neck, NY 11021-1246

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