# PHYSICAL MEDICINE & REHABILITATION CONSULTANT, P.C.

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

## Provider details

- **NPI number:** 1619165180
- **Authorized official:** DR. JEFFREY LEWIS COLE M.D. (PRESIDENT)
- **Authorized official phone:** (718) 261-6366

## Contact information

- **Practice address:** 10615 QUEENS BLVD, FOREST HILLS, NY 11375-4365
- **Practice address phone:** (718) 261-6366
- **Practice address fax:** (718) 263-3427
- **Mailing address:** 10615 QUEENS BLVD, FOREST HILLS, NY 11375-4365
- **Mailing address phone:** (718) 261-6366
- **Mailing address fax:** (718) 263-3427

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0010X | Sports Medicine (Internal Medicine) Physician | 175535 | NY | — |
| 207XX0801X | Orthopaedic Trauma Physician | 126197 | NY | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 141612 | NY | Yes |

## Other

- **Enumeration date:** 10/10/2007
- **Last updated:** 10/10/2007