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

Tristate Physical Medicine & Rehabilitation, PC

Organization Physical Medicine & Rehabilitation Physician · NPI 1295965739

Tristate Physical Medicine & Rehabilitation, PC is a Physical Medicine & Rehabilitation Physician in Bronx, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
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

5822 Broadway
Bronx, NY 10463-2454
Phone: (718) 549-3185
Fax: (718) 884-5002
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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 183866 (NY)

Record details

NPI number1295965739
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Jacobson — Owner · (631) 367-0177
NPI enumeratedJuly 17, 2009
Last updated in NPPESJuly 17, 2009
Mailing address5822 Broadway, Bronx, NY 10463-2454

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