Organization
QUEENS CENTER FOR REHABILITATION RESIDENTIAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARMEN ALICIA PANTOJA PTA (PHYSICAL THERAPIST ASSISTANT)
(813) 943-5289
Entity
Organization
Contact information
Practice address
15715 19TH AVE, WHITESTONE, NY 11357-3820
(718) 746-0400
Mailing address
8560 160TH ST, JAMAICA, NY 11432-1722
(717) 523-7202
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0028101
NY
313M00000X
Nursing Facility/Intermediate Care Facility
0028101
NY
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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