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NPI Code Detail

MEDICARE: MEDICINE AND REHABILITATION SERVICE PC

MEDICARE: MEDICINE AND REHABILITATION SERVICE 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
1208100000XPhysical Medicine & Rehabilitation Physician233485NY

General Provider Information

NPI Number : 1801158720
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDICINE AND REHABILITATION SERVICE PC
Provider Business Mailing Address
First Line : 730 FORT WASHINGTON AVE
Second Line : APT 3N
City : NEW YORK
State : NY
Zip : 10040-3738
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 427 FORT WASHINGTON AVE APT 1A
Second Line :
City : NEW YORK
State : NY
Zip : 10033-3522
Country : US
Telephone Number : 646-669-8192
Fax Number : 646-669-8192
Authorized Official
Title or Position : MEDICAL DOCTOR
Name : XIAOGUANG LIU
Credential :
Telephone Number : 718-530-5267
Provider Enumeration Date : 06/15/2012
Last Update Date : 05/07/2024

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Directions to “MEDICINE AND REHABILITATION SERVICE PC ” Practice Location

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