Woodside Medical Rehabilitation

NPI 1578698908 - Physical Medicine & Rehabilitation - 2081P2900X

NPI Details
NPI 1578698908
Enumeration Date 02/23/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JAE O JAE
Position MD
Phone (718) 886-6268
Fax
Practice Location
14370 SANFORD AVE
FLUSHING NY, 11355-2044, US
Phone (718) 886-6268
Fax
Business Location
14370 SANFORD AVE
FLUSHING NY, 11355-2044, US
Phone (718) 886-6268
Fax
Toxanomy
Taxonomy Code 2081P2900X
License State New York
License Number 130080-1
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According to our database, Woodside Medical Rehabilitation NPI is 1578698908, taxonomy code is 2081P2900X and license number is 130080-1, license state is located at New York. Woodside Medical Rehabilitation physically located at 14370 Sanford Ave, Flushing NY, 11355-2044. NPI Number 1033115704 has the healthcare provider type.

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1578698908 NPI number is provided on an as is basis without warranty of any kind. 1578698908 is maintained by the National Plan & Provider Enumeration System. The contents of Woodside Medical Rehabilitation are for informational purposes only.