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Organization

QUEENS PHYSICAL MEDICINE & REHAB, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPHINE BRAWNER M.D. (MEDICAL DIRECTOR)
(718) 533-8588
Entity
Organization

Contact information

Practice address
8635 QUEENS BLVD, 1B, ELMHURST, NY 11373-4434
(718) 533-8588
(718) 533-1249
Mailing address
8635 QUEENS BLVD, 1B, ELMHURST, NY 11373-4434
(718) 533-8588
(718) 533-1249

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
200303
NY

Other

Enumeration date
11/12/2009
Last updated
11/12/2009
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