MEDICARE: RC RECOVERY INC

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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1336835750
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RC RECOVERY INC

Provider Business Mailing Address
First Line	:	4370 KISSENA BLVD APT 25N
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11355-3750
Country	:	US
Telephone Number	:	732-812-1825
Fax Number	:

Provider Business Practice Location Address
First Line	:	4370 KISSENA BLVD APT 25N
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11355-3750
Country	:	US
Telephone Number	:	732-812-1825
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KUNTALBHAI PATEL
Credential	:
Telephone Number	:	732-812-1825

Provider Enumeration Date	:	04/18/2023
Last Update Date	:	04/18/2023

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Directions to “RC RECOVERY INC ” Practice Location

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