Organization Name: | Q MEDICAL REHAB, P.C. |
NPI Number: | 1104293976 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAM CU QUAN (PRESIDENT) |
Mailing Address: | 1955 Merrick Rd Ste 105 Merrick |
State: | NY US |
Postal Code: | 115664615 |
Phone Number: | 9177277826 |
Fax Number: | 5165670691 |
NPI Enumeration Date: | 08/27/2015 |
NPI Last Update Date: | 08/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0400X |
License Number: | 241419 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation |
Taxonomy Definition: |