Organization
CRESCENT DIAGNOSTIC PREVENTIVE & REHABLITATION MEDICAL PC
Active
Other names
Quentin Pain Management & Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABU TAHER MD (PRESIDENT)
(718) 339-8950
Entity
Organization
Contact information
Practice address
52 HEYWOOD ST, NEW HYDE PARK, NY 11040-2412
(718) 339-8950
(718) 339-8953
Mailing address
52 HEYWOOD ST, NEW HYDE PARK, NY 11040-2412
(718) 339-8950
(718) 339-8953
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
211161
NY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
211161
NY
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
211161
NY
Other
Enumeration date
11/18/2006
Last updated
10/04/2009
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