
- Long Island News, No Fault Doctor
New York No-Fault · Workers’ Compensation · Most major insurance
Not sure if your injury is covered? Ask us first.
Our team verifies your coverage, explains what it pays for, and books your first evaluation at the Long Island location closest to you.
- $0 out of pocket for covered patients
- 7 Long Island locations
- You choose your own treating provider
A cyclist was struck by a vehicle on Middle Country Road in Selden on the evening of Tuesday, September 1, 2026, near the 839 block by Middle Country Automotive. Suffolk County Police, an ambulance and fire apparatus responded, and traffic was held in both directions while crews worked in the roadway. Nothing has been released about the rider’s condition.
What the Scene Shows
Photographs taken at the scene show a Suffolk County Police vehicle stopped across the eastbound lanes with an ambulance behind it and additional fire apparatus further along the road, all with emergency lights running. Traffic is stopped in both directions and vehicles are queued back past the storefronts. It was dusk and the roadway was damp.

This account is based on photographs taken at the scene and a first-hand account from the road, not on a police statement. At the time of writing, Suffolk County Police had not released information about the collision.
No determination of fault has been reported. No cause has been reported. Nothing has been reported about the rider’s injuries or condition. Nobody involved is identified here. Early accounts change, and everything below about injury patterns is general information, not a statement about anyone at this scene.

A Cyclist Struck by a Car Is Covered by New York No-Fault
This is the part people get wrong, and getting it wrong costs the deadline.
A cyclist does not carry auto insurance for a bicycle, and many riders assume that leaves them with nothing to bill. Under New York’s No-Fault system it is the other way round. A person struck by a motor vehicle is covered by the No-Fault policy of the vehicle that struck them, whether that person was driving, riding as a passenger, walking, or on a bicycle. The rider does not need to own a car, and does not need to have been free of blame, because No-Fault pays regardless of who caused the crash.
One contrast is worth stating precisely, because these two get confused constantly. New York Insurance Law defines “motor vehicle” in a way that expressly EXCLUDES a motorcycle — which is why a motorcyclist injured on their own bike sits outside the No-Fault system. A bicycle is not a motor vehicle either, but that is not the operative fact. What matters is that the rider was struck BY one. Being hit by a car puts a cyclist inside the system that a motorcyclist on their own machine sits outside of.
The practical consequence is a clock. The No-Fault application generally has to reach the insurer within 30 days of the accident, and the clock starts on the day of the crash, not on the day the rider decides the pain is not going away. Someone who spends three weeks assuming they have no claim can spend the deadline finding out they did.
Two Impacts, Not One
A cyclist struck by a car is injured twice within about a second, and the second one is the one left out of the story.
The first is the vehicle. The second is the ground, and the ground has no crumple zone, no airbag and no belt. A rider is unrestrained and unenclosed throughout, which is why the injury pattern from a bicycle collision differs from the pattern inside a car at similar speeds. When you describe what happened at an evaluation, describe both: where the vehicle contacted the bike or the body, and how the rider landed.
What Clinicians Look For After a Bicycle Collision
The collarbone is the classic one. A rider who goes over the bars and lands on the shoulder or on an outstretched hand loads the clavicle directly, and clavicle fracture is among the most common injuries in the sport. Pain over the bone, a visible step or bump, and reluctance to lift the arm are all worth saying out loud.
The wrist deserves particular attention, for a reason that runs against instinct. A fall onto an outstretched hand can fracture the scaphoid, a small bone at the base of the thumb, and the danger there is not that it hurts — it is that it often does not hurt much, and hurts less each day, so the rider stops seeking care and the bone fails to unite. Do not treat “the pain is settling” as evidence that a wrist is fine after a fall on the hand. Mechanism, not pain trajectory, is what should send someone for imaging.
The abdomen matters too. Handlebars concentrate force into a very small area, and an impact there can injure something beneath the wall while leaving very little to see on the surface. Abdominal pain after a bicycle crash is not a bruise until somebody has established that it is.
Then the road surface itself. Abrasions from asphalt carry grit and debris into the wound, which makes them a contamination problem rather than a cosmetic one. They need proper cleaning rather than a dressing laid over the top.
The Helmet Question
A helmet that has taken an impact has done its job, and it has also recorded something useful.
If the shell is cracked, scuffed or crushed anywhere, that is physical evidence of a head impact — and it stays true whether or not the rider remembers hitting their head, and whether or not they feel concussed at the roadside. Keep the helmet, do not keep riding in it, and mention it at the evaluation.
Wearing a helmet reduces head injury. It does not rule one out, and it does nothing at all for the neck. A rider told that their helmet did its job should not hear that as a reason to skip an assessment.
Red Flags That Warrant Emergency Care the Same Day
Some findings do not wait for an appointment. Go to an emergency department, or call 911, for loss of consciousness, a headache that keeps worsening, repeated vomiting, confusion, slurred speech, a seizure, or one pupil larger than the other — and treat symptoms that begin hours after a head impact as expected rather than as reassurance. Also for neck or back pain with numbness, tingling or weakness, particularly in both arms or both legs, new clumsiness in the hands, a change in walking, or any loss of bowel or bladder control.
A limb that is cold, pale or numb, or pain out of proportion to what is visible with tightness and swelling, can signal a vascular problem or compartment syndrome and is time-critical. So are shortness of breath or chest pain, abdominal pain or abdominal bruising after a handlebar impact, and pain felt at the tip of the left shoulder, which can accompany an injury under the diaphragm rather than a shoulder problem at all.
If You Were the Rider, or You Saw It
Get the police report number and keep it. Photograph the bicycle before it is repaired or thrown out — a bent fork or a scraped crank tells a clinician and an adjuster where the force went. Keep the helmet. Photograph your own injuries over the following days as bruising develops, because road rash and bruising darken well after the day of the crash. And be evaluated even if you got up and walked your bike off the road, which is what most people do and what almost nobody should read as reassurance.
New York generally requires the No-Fault application to reach the insurer within 30 days of the accident. The 30-day filing deadline covers it, how No-Fault insurance works covers the rest, and pedestrian accident injuries covers the closest equivalent situation for people struck on foot.
Were you the rider, or a driver involved in the Middle Country Road crash in Selden?
Call us today at (631) 560-8357 to be evaluated. Our Long Island team covers orthopedics, chiropractic, physical therapy and pain management under one roof, with digital X-ray on site, and bills New York No-Fault and Workers’ Compensation directly — $0 out of pocket for covered patients. Learn more about choosing a no-fault doctor, about car accident injury care, and about delayed injury symptoms after a car accident.
Scene details from photographs taken at the scene on September 1, 2026. Not confirmed by Suffolk County Police at the time of writing.
Disclaimer: This post is for informational purposes only and does not constitute legal or medical advice. Details of the incident are based on initial reports and may change. If you were injured in an accident, please consult with a qualified medical professional.
