Organization
BEVERLY REHABILITATION MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONA ELKOMOS-BOTROS M.D. (DIRECTOR)
(718) 363-6641
Entity
Organization
Contact information
Practice address
263 7TH AVE, BROOKLYN, NY 11215-3689
(718) 246-8702
Mailing address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9089
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
200426
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01883352
—
NY
Enumeration date
10/04/2006
Last updated
11/14/2023
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