Organization
QUEENS REHABILITATION & DIAGNOSTICS
Active
Other names
Optimum Neuromuscular Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY J MATHEW M.D. (PRESIDENT)
(718) 229-4868
Entity
Organization
Contact information
Practice address
21435 42ND AVE, 3RD FLOOR, BAYSIDE, NY 11361
(718) 229-4868
Mailing address
21435 42ND AVE, 3RD FLOOR, BAYSIDE, NY 11361
(718) 229-4868
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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