# POST INJURY MEDICAL TREATMENT PC

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

## Provider details

- **NPI number:** 1366528861
- **Authorized official:** SHALVA ADAR MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (718) 459-5556

## Contact information

- **Practice address:** 17-31 SEAGIRT BLVD, FAR ROCKAWAY, NY 11691
- **Practice address phone:** (718) 471-3700
- **Mailing address:** PO BOX 750423, POST INJURY MEDICAL TREATMENT PC, FOREST HILLS, NY 11375
- **Mailing address phone:** (718) 459-5556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 193766 | NY | Yes |

## Other

- **Enumeration date:** 10/27/2006
- **Last updated:** 09/18/2007