MEDICARE: KOYA REHAB, LLC

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
1	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1265371397
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KOYA REHAB, LLC

Provider Business Mailing Address
First Line	:	334 HILLSIDE DR S
Second Line	:
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11040-2720
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	334 HILLSIDE DR S
Second Line	:
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11040-2720
Country	:	US
Telephone Number	:	718-730-3956
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RAHUL KOYA
Credential	:	DO
Telephone Number	:	718-730-3956

Provider Enumeration Date	:	03/25/2026
Last Update Date	:	03/25/2026

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