Organization · Type 2 NPI

Pagoda Medical PC

Physical Medicine & Rehabilitation Physician · Staten Island, NY

NPI number 1023523602 Active

Practice location

399 Lake Ave Fl 1
Staten Island, NY 10303-2640

Specialties and licenses

Taxonomy	Code	License
Physical Medicine & Rehabilitation Physician Primary	208100000X	275175 (NY)

Physical Medicine & Rehabilitation Physician: Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively,…

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About NPI 1023523602

Pagoda Medical PC's National Provider Identifier is 1023523602, issued on Dec 5, 2017. The primary taxonomy on file is Physical Medicine & Rehabilitation Physician (208100000X), and the practice location is in Staten Island, NY. The record was last updated on Jun 22, 2026.