Innovative Rehabilitation Consultant Medical Pc

LBN: Innovative Rehabilitation Consultant Medical Pc
Innovative Rehabilitation Consultant Medical Pc is an health care organization with primary practice located at 9701 66Th Ave , Rego Park NY 11374-4245. The organization recently has only one registered license in Ambulatory Health Care Facilities / Pain, which is considered as the primary health care specialty. Innovative Rehabilitation Consultant Medical Pc can be contacted via phone (718) 275-5200, or through Fuzaylov, Dmitriy via phone (646) 784-3984.

Contact Information

Primary practice address
9701 66Th Ave Rego Park NY 11374-4245
Phone: (718) 275-5200
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fuzaylov, Dmitriy Doctor of Medicine (MD)
Phone: (646) 784-3984

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Pain 261QP3300X 241269 New York

Profile Details

NPI number 1770880403
LBN Legal business name Innovative Rehabilitation Consultant Medical Pc
DBA Doing business as
Authorized official Fuzaylov, Dmitriy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2011
Last updated Jul 9th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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