Organization
REGO PARK MEDICAL SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD GIOVANELLI M.D. (OWNER)
(718) 429-6630
Entity
Organization
Contact information
Practice address
6135 WOODHAVEN BLVD, REGO PARK, NY 11374-2739
(718) 429-6630
(718) 429-6584
Mailing address
6135 WOODHAVEN BLVD, REGO PARK, NY 11374-2739
(718) 429-6630
(718) 429-6584
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
153423-1
NY
207X00000X
Orthopaedic Surgery Physician
153643-2
NY
208100000X
Physical Medicine & Rehabilitation Physician
025361-1
NY
208D00000X
General Practice Physician
Primary
148343-2
NY
Other
Enumeration date
12/19/2007
Last updated
12/19/2007
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