OrganizationActive
Advanced Rehabilitation Medicine PLLC.
NPI 1598855058 · Rehabilitation Practitioner · Port Jefferson, NY
Provider details
- NPI number
- 1598855058
- Entity type
- Organization
- Primary specialty
- Rehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Carolyn Fanelli, Practice Manager(631) 474-6049
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
200 Belle Terre Rd
Suite E140
Port Jefferson, NY 11777-1928
Phone: (631) 474-6879
Fax: (631) 474-6448
Approximate (ZIP-level) locationGet directions
Mailing address
200 Belle Terre Rd
Port Jefferson, NY 11777-1928
Registry dates
- Enumerated
- 2006-10-13
- Last updated
- 2010-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.