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Organization
CROSSBAY PHYSICAL MEDICINE AND REHABILITATION, P. C.
Active
Organization
CROSSBAY PHYSICAL MEDICINE AND REHABILITATION, P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN BIEBER (TREASURER)
(917) 648-0487
Entity
Organization
Contact information
Practice address
15120 88TH ST STE LL, HOWARD BEACH, NY 11414-2034
(718) 835-0754
Mailing address
425 N BROADWAY UNIT 132, JERICHO, NY 11753-5007
(917) 648-0487
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160530
LICENSE
NY
Enumeration date
12/10/2012
Last updated
06/08/2026
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