Healthcare Provider Details

I. General information

NPI: 1821925678
Provider Name (Legal Business Name): REHABILITATION MEDICINE P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 GRASSLANDS RD
VALHALLA NY
10595-1543
US

IV. Provider business mailing address

52 BERKSHIRE RD
GREAT NECK NY
11023-1416
US

V. Phone/Fax

Practice location:
  • Phone: 914-681-8400
  • Fax:
Mailing address:
  • Phone: 914-703-8244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. NEGIN GOHARI
Title or Position: PRESIDENT
Credential: DO
Phone: 914-703-8244