Healthcare Provider Details

I. General information

NPI: 1891944567
Provider Name (Legal Business Name): ELITE MEDICAL & REHAB SERVICES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2008
Last Update Date: 09/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

56A MOTOR AVE
FARMINGDALE NY
11735-4038
US

IV. Provider business mailing address

8708 JUSTICE AVE SUITE CG
ELMHURST NY
11373-4575
US

V. Phone/Fax

Practice location:
  • Phone: 516-752-1910
  • Fax: 516-752-1914
Mailing address:
  • Phone: 516-504-5923
  • Fax: 516-752-1914

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number2371112
License Number StateNY

VIII. Authorized Official

Name: DR. SAWEY HARHASH
Title or Position: OWNER
Credential: M.D.
Phone: 516-504-5923