Organization
CROSSBAY PHYSICAL MEDICINE AND REHABILITATION, P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN BIEBER (TREASURER)
(718) 835-0754
Entity
Organization
Contact information
Practice address
15120 88TH ST STE LL, HOWARD BEACH, NY 11414-2034
(718) 835-0754
Mailing address
15702 CROSSBAY BLVD, HOWARD BEACH, NY 11414-2753
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160530
LICENSE
NY
Enumeration date
12/10/2012
Last updated
11/28/2023
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