# MARYAM AGHALAR PHYSICAL MEDICINE AND REHABILITATION PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215389937
- **Authorized official:** DR. MARYAM AGHALAR D.O (PHYSICIAN)
- **Authorized official phone:** (917) 957-3725

## Contact information

- **Practice address:** 9712 63RD DR STE 1B, REGO PARK, NY 11374-2245
- **Practice address phone:** (917) 957-3725
- **Mailing address:** 46 OLD POND RD, GREAT NECK, NY 11023-1031
- **Mailing address phone:** (917) 957-3725

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 263923 | NY | Yes |

## Other

- **Enumeration date:** 07/06/2016
- **Last updated:** 02/28/2022