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

Organization Physical Medicine & Rehabilitation Physician · NPI 1508146341

Staten Island Pain & Rehabilitation, PC is a Physical Medicine & Rehabilitation Physician in Staten Island, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
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

4247 Richmond Ave Lowr Level
Staten Island, NY 10312-6220
Phone: (718) 966-7246
Fax: (718) 966-7247
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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 A-243211-1 (NY)

Record details

NPI number1508146341
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Leung — President · (516) 967-6255
NPI enumeratedAugust 24, 2011
Last updated in NPPESJanuary 4, 2012
Mailing address4247 Richmond Ave, Lower Level, Staten Island, NY 10312-6220

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