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Organization

PHYSICAL MEDICINE & REHABILITATION CONSULTANT, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFREY LEWIS COLE M.D. (PRESIDENT)
(718) 261-6366
Entity
Organization

Contact information

Practice address
10615 QUEENS BLVD, FOREST HILLS, NY 11375-4365
(718) 261-6366
(718) 263-3427
Mailing address
10615 QUEENS BLVD, FOREST HILLS, NY 11375-4365
(718) 261-6366
(718) 263-3427

Taxonomy

Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
175535
NY
207XX0801X
Orthopaedic Trauma Physician
126197
NY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
141612
NY

Other

Enumeration date
10/10/2007
Last updated
10/10/2007
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