Organization
PHYSICAL HEALTH MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA BARAYEVA DO (MEDICAL DIRECTOR)
(646) 413-0553
Entity
Organization
Contact information
Practice address
9520 63RD RD STE L, REGO PARK, NY 11374-1145
(718) 603-9077
Mailing address
6441 SAUNDERS ST APT 306, REGO PARK, NY 11374-3225
(646) 413-0553
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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