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

Staten Island Medical Rehabilitation, PC

Organization Physical Medicine & Rehabilitation Physician · NPI 1912055245

Staten Island Medical Rehabilitation, PC is a Physical Medicine & Rehabilitation Physician in Staten Island, New York. Works from 2 locations. Licensed in New York.

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

2460 Victory Blvd
Staten Island, NY 10314-6612
Phone: (718) 966-7940
Fax: (718) 966-4382
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3993 Richmond Ave, Staten Island, NY 10312-5112 — (718) 966-7940

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 198050 (NY)

Record details

NPI number1912055245
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adolph Meyer — Owner · (718) 966-7940
NPI enumeratedJanuary 5, 2007
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026
Mailing address2460 Victory Blvd, Staten Island, NY 10314-6612

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