Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Pain Management & Rehabilitative Physical Medicine, PC

Organization Physical Medicine & Rehabilitation Physician · NPI 1114061074

Pain Management & Rehabilitative Physical Medicine, PC provides Physical Medicine & Rehabilitation Physician services in Brooklyn, 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

2281 82nd St
Brooklyn, NY 11214-2603 Not confirmed with CMS for 12 years — call before visiting
Phone: (718) 621-0336
Fax: (718) 621-0339
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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 166878 (NY)

Record details

NPI number1114061074
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laurian Jacoby — President · (718) 621-0336
NPI enumeratedFebruary 16, 2007
Last updated in NPPESApril 17, 2014
Mailing address895 Cherry Ln, Valley Stream, NY 11581-2722

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