Organization
POST INJURY MEDICAL TREATMENT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHALVA ADAR MD (MEDICAL DIRECTOR)
(718) 459-5556
Entity
Organization
Contact information
Practice address
17-31 SEAGIRT BLVD, FAR ROCKAWAY, NY 11691
(718) 471-3700
Mailing address
PO BOX 750423, POST INJURY MEDICAL TREATMENT PC, FOREST HILLS, NY 11375
(718) 459-5556
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
193766
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01484808
—
NY
Enumeration date
10/27/2006
Last updated
09/18/2007
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