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Organization
QUEENS CENTER FOR REHABILITATION RESIDENTIAL HEALTHCARE
Active
Organization
QUEENS CENTER FOR REHABILITATION RESIDENTIAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARMEN ALICIA PANTOJA PTA (PHYSICAL THERAPIST ASSISTANT)
(813) 943-5289
Entity
Organization
Contact information
Practice address
15715 19TH AVE, WHITESTONE, NY 11357-3820
(718) 746-0400
Mailing address
8560 160TH ST, JAMAICA, NY 11432-1722
(717) 523-7202
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0028101
NY
313M00000X
Nursing Facility/Intermediate Care Facility
0028101
NY
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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