MEDICARE: ADVANCED REHABILITATION MEDICAL CARE ,PLLC

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	208100000X	Physical Medicine & Rehabilitation Physician

Other Identifiers

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

General Provider Information

NPI Number	:	1871766196
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED REHABILITATION MEDICAL CARE ,PLLC

Provider Business Mailing Address
First Line	:	PO BOX 489
Second Line	:
City	:	SELDEN
State	:	NY
Zip	:	11784-0489
Country	:	US
Telephone Number	:	631-332-0694
Fax Number	:

Provider Business Practice Location Address
First Line	:	3716 73RD ST STE 202
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-6216
Country	:	US
Telephone Number	:	718-205-1720
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ROKEYA HABIB
Credential	:	MD
Telephone Number	:	631-332-0694

Provider Enumeration Date	:	04/08/2008
Last Update Date	:	04/08/2008

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Directions to “ADVANCED REHABILITATION MEDICAL CARE ,PLLC ” Practice Location

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