Front Street Medical Pc in Forest Hills - Physical Medicine & Rehabilitation

Front Street Medical Pc - NPI 1790992030

Front Street Medical Pc is a Physical Medicine & Rehabilitation in Forest Hills, New York. Front Street Medical Pc practices all healthcare services and medical treatments related to Physical Medicine & Rehabilitation. The NPI Number for Front Street Medical Pc is 1790992030. The last update date is 2020-08-22.

Front Street Medical Pc's current location address is 11045 Queens Blvd, Forest Hills, New York. You can contact this provider via phone number 7182684468. The mailing address for Front Street Medical Pc is 11045 Queens Blvd, Forest Hills, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Front Street Medical Pc
Address 11045 Queens Blvd, Forest Hills, New York
Phone Number 7182684468
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Khanan G David
Credentials MD
Telephone Number 5165654370

NPI Number Detail

NPI Number 1790992030
Provider Enumeration Date 2007-05-17
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 11045 Queens Blvd
City Forest Hills
State New York (NY)
Post Code 113755501
Phone Number 7182684468
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Medicine & Rehabilitation
Taxonomy 208100000X
Licence No 228173
Definition:
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affectin

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
228173 NY MED LIC

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FAQs about Front Street Medical Pc

What is the unique 10-digit identifier code issued to Front Street Medical Pc by the Centers for Medicare & Medicaid Services?

The Front Street Medical Pc has been assigned the NPI (National Provider Identifier) 1790992030 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Front Street Medical Pc is located?

The Front Street Medical Pc is situated at the following address: 11045 Queens Blvd, Forest Hills, NY, 113755501.

What is the Front Street Medical Pc's area of specialization and corresponding taxonomy classification?

The Front Street Medical Pc's specialty field is Physical Medicine & Rehabilitation, and it falls under the taxonomy code 208100000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1790992030 to Front Street Medical Pc?

The Centers for Medicare & Medicaid Services originally issued the 1790992030 to Front Street Medical Pc on 2007-05-17.

When was the information regarding Front Street Medical Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Front Street Medical Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.

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