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NPI Code Detail

MEDICARE: RNT GENERAL MEDICAL AND REHAB PC

MEDICARE: RNT GENERAL MEDICAL AND REHAB PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center215979NY
2261QP2000XPhysical Therapy Clinic/Center215979NY

General Provider Information

NPI Number : 1164584363
Entity Type Code : Organization
Provider Name (Legal Business Name) : RNT GENERAL MEDICAL AND REHAB PC
Provider Business Mailing Address
First Line : 3744 75TH ST
Second Line :
City : JACKSON HEIGHTS
State : NY
Zip : 11372-6414
Country : US
Telephone Number : 718-672-5529
Fax Number : 718-672-5817
Provider Business Practice Location Address
First Line : 3744 75TH ST
Second Line :
City : JACKSON HEIGHTS
State : NY
Zip : 11372-6414
Country : US
Telephone Number : 718-672-5529
Fax Number : 718-672-5817
Authorized Official
Title or Position : DIRECTOR
Name : THOMAS TEYIBO
Credential : MD
Telephone Number : 718-672-5529
Provider Enumeration Date : 12/14/2006
Last Update Date : 10/11/2007

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Directions to “RNT GENERAL MEDICAL AND REHAB PC ” Practice Location

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