Physician Compare National (NPI:1235214339)

HEALTHCARE PROVIDER: STEPHEN HENRY HUISH D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1235214339
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1153503727
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110303000683
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HUISH
	Individual professional last name
Provider First Name	STEPHEN
	Individual professional first name
Provider Middle Name	H.
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1991
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL MEDICINE AND REHABILITATION
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	PREVENTATIVE MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PREVENTATIVE MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	PHYSICIANS MEDICAL REHABILITATION ASSOCIATES, PLLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	0446432009
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	21316 39TH AVE
	Group Practice or individual's line 1 address
City	BAYSIDE
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	113612045
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7182297800
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y