# QUEENS NEUROREHABILITATION, PC

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

## Provider details

- **NPI number:** 1760624449
- **Authorized official:** TAUFIQ AZAMY MD (NEUROLOGIST)
- **Authorized official phone:** (718) 850-1500

## Contact information

- **Practice address:** 8727 MYRTLE AVE, GLENDALE, NY 11385-7847
- **Practice address phone:** (718) 850-1500
- **Practice address fax:** (718) 850-4444
- **Mailing address:** 8727 MYRTLE AVE, GLENDALE, NY 11385-7847
- **Mailing address phone:** (718) 850-1500
- **Mailing address fax:** (718) 850-4444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 208835 | NY | Yes |

## Other

- **Enumeration date:** 03/27/2009
- **Last updated:** 03/27/2009