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NPI Code Detail

MEDICARE: PARKWAY PAIN CARE & REHABILITATION P.C.

MEDICARE: PARKWAY PAIN CARE & REHABILITATION 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
1208100000XPhysical Medicine & Rehabilitation Physician172301NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619072113
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARKWAY PAIN CARE & REHABILITATION P.C.
Provider Business Mailing Address
First Line : 4303 14TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-1678
Country : US
Telephone Number : 718-941-6000
Fax Number : 718-941-6071
Provider Business Practice Location Address
First Line : 4303 14TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-1678
Country : US
Telephone Number : 718-941-6000
Fax Number : 718-941-6071
Authorized Official
Title or Position : PRESIDENT
Name : PERRY J STEIN
Credential : M.D.
Telephone Number : 718-941-6000
Provider Enumeration Date : 09/13/2006
Last Update Date : 06/23/2025

Similar Medicare Providers

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Directions to “PARKWAY PAIN CARE & REHABILITATION P.C. ” Practice Location

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