Organization
EXCELSIOR PHYSICAL MEDICINE AND REHABILITATION, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PENG ZHAO MD (DIRECTOR)
(718) 206-7434
Entity
Organization
Contact information
Practice address
5314 ROOSEVELT AVE, WOODSIDE, NY 11377-4239
(718) 206-7434
Mailing address
5314 ROOSEVELT AVE, WOODSIDE, NY 11377-4239
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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