QUEENS NEUROREHABILITATION, PC


Address: 8727 Myrtle Ave, Glendale, NY 11385-7847
Phone: 7188501500

QUEENS NEUROREHABILITATION, PC (NPI# 1760624449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760624449
Entity Type Organization
Organization Name QUEENS NEUROREHABILITATION, PC
Practice Address 8727 Myrtle Ave
Glendale
NY 11385-7847
Practice Telephone 7188501500
Practice Fax Number 7188504444
Mailing Telephone 7188501500
Mailing Fax Number 7188504444
Enumeration Date 2009-03-27
Last Update Date 2009-03-27
Authorized Official Name TAUFIQ AZAMY (NEUROLOGIST)
Authorized Official Telephone 7188501500
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
208835 NY Ambulatory Health Care Facilities

Office Location

Street Address 8727 MYRTLE AVE
City GLENDALE
State NY
Zip Code 11385-7847

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1164929584 Carmen E. Vidal Case Manager/Care Coordinator 61-06 Metropolitan Ave., Ridgewood, NY 11385 2018-04-11
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1851806913 Myrtle Medical Equipment Inc Durable Medical Equipment & Medical Supplies 7933 Myrtle Ave, Flushing, NY 11385 2017-12-11
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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

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Competitor

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City GLENDALE
Zip Code 11385

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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