# PHYSICIANS MEDICAL REHABILITATION ASSOCIATES, PLLC

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

## Provider details

- **NPI number:** 1750468831
- **Authorized official:** DR. JOHN S VLATTAS M.D. (PRESIDENT)
- **Authorized official phone:** (718) 229-7800

## Contact information

- **Practice address:** 21316 39TH AVE, BAYSIDE, NY 11361-2045
- **Practice address phone:** (718) 229-7800
- **Practice address fax:** (718) 279-7470
- **Mailing address:** 213-16 39TH AVENUE, BAYSIDE, NY 11361
- **Mailing address phone:** (718) 229-7800
- **Mailing address fax:** (718) 279-7470

## Taxonomy

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

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 04/15/2015