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Organization
ROYAL REHAB PHYSICAL THERAPY PC
Active
Organization
ROYAL REHAB PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAN YUSUPOV P.T. (P.T.)
(718) 426-5100
Entity
Organization
Contact information
Practice address
92-56 QUEENS BLVD, REGO PARK, NY 11374
(718) 426-5100
(718) 426-5110
Mailing address
9735 63 RD DR, REGO PARK, NY 11374
(718) 426-5100
(718) 426-5110
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
031272
NY
Other
Enumeration date
05/10/2011
Last updated
05/10/2011
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