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Organization
EXCELSIOR PHYSICAL MEDICINE AND REHABILITATION, P.C.
Active
Organization
EXCELSIOR PHYSICAL MEDICINE AND REHABILITATION, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PENG ZHAO MD (DIRECTOR)
(718) 206-7434
Entity
Organization
Contact information
Practice address
5314 ROOSEVELT AVE, WOODSIDE, NY 11377-4239
(929) 401-4961
(929) 401-4962
Mailing address
5314 ROOSEVELT AVE, WOODSIDE, NY 11377-4239
(929) 401-4961
(929) 401-4962
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/14/2026
Last updated
09/16/2026
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