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General NPI Number Information
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NPI Number | 1689129041
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Entity Type | Organization
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Legal Business Name | REAL REHAB SOLUTIONS, LLC
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Dates
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Enumeration Date | 08/15/2016
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Last Update Date | 08/15/2016
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Provider Practice Location Address
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Address Line | 1752 FRANCIS LEWIS BLVD
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City | WHITESTONE
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State | NY
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Zip | 11357-3247
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Country | US
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Telephone | 347-476-0348
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Fax |
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Provider Business Mailing Address
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Address Line | 3216 CRESCENT ST APT 1L
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City | ASTORIA
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State | NY
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Zip | 11106-4169
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Country | US
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Telephone | 347-476-0348
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Fax |
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Authorized Official
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Title or Position | MEDICAL BILLER
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Name | LINDA MIAH
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Credential |
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Telephone | 347-476-0348
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 034946-1
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License Number State | NY
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