Organization
PHYSICIANS MEDICAL REHABILITATION ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN S VLATTAS M.D. (PRESIDENT)
(718) 229-7800
Entity
Organization
Contact information
Practice address
21316 39TH AVE, BAYSIDE, NY 11361-2045
(718) 229-7800
(718) 279-7470
Mailing address
213-16 39TH AVENUE, BAYSIDE, NY 11361
(718) 229-7800
(718) 279-7470
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
04/15/2015
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