MEDICARE: HEALTH QUEST PHYSICAL THERAPY, 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
1	174400000X	Specialist	020951	NY

General Provider Information

NPI Number	:	1851571160
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH QUEST PHYSICAL THERAPY, P.C.

Provider Business Mailing Address
First Line	:	11027 70TH RD
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-3933
Country	:	US
Telephone Number	:	718-606-1911
Fax Number	:	718-709-4166

Provider Business Practice Location Address
First Line	:	6405 YELLOWSTONE BLVD APT 101
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-1534
Country	:	US
Telephone Number	:	718-606-1911
Fax Number	:	718-709-4166

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BORIS I PALTIELOV
Credential	:	PT
Telephone Number	:	718-606-1911

Provider Enumeration Date	:	11/05/2007
Last Update Date	:	12/11/2019

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