Pain Management & Rehabilitative Physical Medicine, Pc in Valley Stream - Physical Medicine & Rehabilitation
Pain Management & Rehabilitative Physical Medicine, Pc - NPI 1114061074
Pain Management & Rehabilitative Physical Medicine, Pc is a Physical Medicine & Rehabilitation in Valley Stream, New York. Pain Management & Rehabilitative Physical Medicine, Pc practices all healthcare services and medical treatments related to Physical Medicine & Rehabilitation. The NPI Number for Pain Management & Rehabilitative Physical Medicine, Pc is 1114061074. The last update date is 2014-04-17.
Pain Management & Rehabilitative Physical Medicine, Pc's current location address is 895 Cherry Ln, Valley Stream, New York. You can contact this provider via phone number 7186210336 and fax number 7186210339. The mailing address for Pain Management & Rehabilitative Physical Medicine, Pc is 895 Cherry Ln, Valley Stream, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pain Management & Rehabilitative Physical Medicine, Pc |
|---|---|
| Address | 895 Cherry Ln, Valley Stream, New York |
| Phone Number | 7186210336 |
| Fax Number | 7186210339 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Jacoby Laurian |
| Credentials | MD |
| Telephone Number | 7186210336 |
NPI Number Detail
| NPI Number | 1114061074 |
|---|---|
| Provider Enumeration Date | 2007-02-16 |
| Last Updated Date | 2014-04-17 |
Provider Mailing Address Detail
| Address | 895 Cherry Ln |
|---|---|
| City | Valley Stream |
| State | New York (NY) |
| Post Code | 115812722 |
| Phone Number | 7186210336 |
| Fax Number | 7186210339 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Medicine & Rehabilitation |
|---|---|
| Taxonomy | 208100000X |
| Licence No | 166878 |
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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 |
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What is the unique identification code assigned to Pain Management & Rehabilitative Physical Medicine, Pc by the Centers for Medicare & Medicaid Services?
The Pain Management & Rehabilitative Physical Medicine, Pc has been issued the NPI (National Provider Identifier) 1114061074. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Pain Management & Rehabilitative Physical Medicine, Pc's facilities are geographically located?
The facilities of Pain Management & Rehabilitative Physical Medicine, Pc are physically situated at the following location: 895 Cherry Ln, Valley Stream, NY, 115812722.
What is Pain Management & Rehabilitative Physical Medicine, Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Pain Management & Rehabilitative Physical Medicine, Pc's specialized field of practice is Physical Medicine & Rehabilitation, and the corresponding taxonomy code that categorizes this area of specialization is 208100000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1114061074 to Pain Management & Rehabilitative Physical Medicine, Pc?
The Pain Management & Rehabilitative Physical Medicine, Pc received its 1114061074 assignment from the Centers for Medicare & Medicaid Services on 2007-02-16.
When was the information regarding Pain Management & Rehabilitative Physical Medicine, Pc most recently updated?
The details pertaining to the Pain Management & Rehabilitative Physical Medicine, Pc, including its address, specialty, and other relevant information, were last refreshed on 2014-04-17.