# QUEENS REHABILITATION & DIAGNOSTICS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Optimum Neuromuscular Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588940464
- **Authorized official:** DR. STANLEY J MATHEW M.D. (PRESIDENT)
- **Authorized official phone:** (718) 229-4868

## Contact information

- **Practice address:** 21435 42ND AVE, 3RD FLOOR, BAYSIDE, NY 11361
- **Practice address phone:** (718) 229-4868
- **Mailing address:** 21435 42ND AVE, 3RD FLOOR, BAYSIDE, NY 11361
- **Mailing address phone:** (718) 229-4868

## Taxonomy

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

## Other

- **Enumeration date:** 10/24/2011
- **Last updated:** 10/24/2011
