# A-1 COMMUNITY PHYSICAL MEDICINE & REHABILITATION, P.C.

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

## Provider details

- **NPI number:** 1679663736
- **Authorized official:** DR. JOSEPHINE BRAWNER M.D. (PHYSICIAN/OWNER)
- **Authorized official phone:** (718) 424-5151

## Contact information

- **Practice address:** 7911 41ST AVE, A-108, ELMHURST, NY 11373-1258
- **Practice address phone:** (718) 424-5151
- **Practice address fax:** (718) 424-9119
- **Mailing address:** 7911 41ST AVE, A-108, ELMHURST, NY 11373-1258
- **Mailing address phone:** (718) 424-5151
- **Mailing address fax:** (718) 424-9119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | 200303 | NY | Yes |

## Other

- **Enumeration date:** 10/12/2006
- **Last updated:** 07/15/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01592034 | — | NY |