Innovative Rehabilitation Consultant Medical PC
Innovative Rehabilitation Consultant Medical PC provides Pain Clinic/Center services in Rego Park, New York. Licensed in New York. Registered with an NPI since 2011.
- Licensed in
- NY
- In the registry since
- 2011
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
9701 66th AveRego Park, NY 11374-4245
Phone: (718) 275-5200
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pain Clinic/Center (primary) | Taxonomy 261QP3300X · Licence 241269 (NY) |
|---|
Record details
| NPI number | 1770880403 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dmitriy Fuzaylov — Ownder · (646) 784-3984 |
| NPI enumerated | February 15, 2011 |
| Last updated in NPPES | July 9, 2021 |
| Certification date | July 9, 2021 |
| Mailing address | 21429 Jamaica Ave, Queens Village, NY 11428-1733 |