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NPI Code Detail

MEDICARE: LONG'S MEDICAL REHAB, P.C.

MEDICARE: LONG'S MEDICAL REHAB, P.C.
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
1261QM2500XMedical Specialty Clinic/Center228353NY

General Provider Information

NPI Number : 1558424606
Entity Type Code : Organization
Provider Name (Legal Business Name) : LONG'S MEDICAL REHAB, P.C.
Provider Business Mailing Address
First Line : 761 55TH ST FL 1
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-3210
Country : US
Telephone Number : 718-436-3497
Fax Number : 718-436-3499
Provider Business Practice Location Address
First Line : 761 55TH ST FL 1
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-3210
Country : US
Telephone Number : 718-436-3497
Fax Number : 718-436-3499
Authorized Official
Title or Position : PRESIDENT
Name : MINHUI LONG
Credential :
Telephone Number : 718-436-3497
Provider Enumeration Date : 12/19/2006
Last Update Date : 09/28/2021

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