Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Physical Medicine & Rehabilitation of New York, PC

Organization Specialist · NPI 1760675300

Physical Medicine & Rehabilitation of New York, PC provides Specialist services in Rego Park, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9520 Queens Blvd
Rego Park, NY 11374-1136 Not confirmed with CMS for 19 years — call before visiting
Phone: (718) 459-1280
Fax: (718) 897-6175
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 218201 (NY)

Record details

NPI number1760675300
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gautam Khakhar — Medical Director · (718) 459-1280
NPI enumeratedAugust 27, 2007
Last updated in NPPESAugust 27, 2007
Mailing address9520 Queens Blvd, Rego Park, NY 11374-1136

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