# NEW CITY PHYSICAL MEDICINE & REHABILITATION PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1417308628
- **Authorized official:** KRYSTAL MCKENNA (MANAGER)
- **Authorized official phone:** (845) 362-8400

## Contact information

- **Practice address:** 188 S MAIN ST, NEW CITY, NY 10956-3318
- **Practice address phone:** (800) 750-8616
- **Mailing address:** 26 FIREMENS MEMORIAL DR, SUITE 115, POMONA, NY 10970-3553
- **Mailing address phone:** (845) 362-8400
- **Mailing address fax:** (845) 362-8474

## Taxonomy

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

## Other

- **Enumeration date:** 06/29/2016
- **Last updated:** 06/29/2016
