Organization
MARYAM AGHALAR PHYSICAL MEDICINE AND REHABILITATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARYAM AGHALAR D.O (PHYSICIAN)
(917) 957-3725
Entity
Organization
Contact information
Practice address
9712 63RD DR STE 1B, REGO PARK, NY 11374-2245
(917) 957-3725
Mailing address
46 OLD POND RD, GREAT NECK, NY 11023-1031
(917) 957-3725
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
263923
NY
Other
Enumeration date
07/06/2016
Last updated
02/28/2022
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