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Organization
PHYSICAL MEDICINE & REHABILITATION OF NEW YORK, P.C.
Active
Organization
PHYSICAL MEDICINE & REHABILITATION OF NEW YORK, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAUTAM KHAKHAR M.D. (MEDICAL DIRECTOR)
(718) 459-1280
Entity
Organization
Contact information
Practice address
9520 QUEENS BLVD, REGO PARK, NY 11374-1136
(718) 459-1280
(718) 897-6175
Mailing address
9520 QUEENS BLVD, REGO PARK, NY 11374-1136
(718) 459-1280
(718) 897-6175
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
218201
NY
Other
Enumeration date
08/27/2007
Last updated
08/27/2007
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