NPI:
1285034678
Provider Name:
QUEENS BLVD EXT CARE FACILITY MANAGEMENT LLC
Doing Business As: QUEENS BLVD EXT CARE
Classification:
Clinic/Center - 261QR0401X
Entity Type:
Organization
Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Address:
6111 QUEENS BLVD
WOODSIDE, NY
ZIP 11377
Phone:
(718) 205-0298
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QUEENS BLVD EXT CARE FACILITY MANAGEMENT LLC is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Woodside, NY. QUEENS BLVD EXT CARE FACILITY MANAGEMENT LLC NPI is 1285034678. The provider is registered as an organization entity type.
The provider Is Doing Business As Queens Blvd Ext Care.
The provider's business location address is:
6111 QUEENS BLVD
WOODSIDE, NY
ZIP 11377-965
Phone: (718) 205-0298
The provider's authorized official is Joseph Malone .
The authorized official title is Cfo and has the following contact phone number (718) 205-0298.
The enumeration date for this NPI number is 9/4/2014 and was last updated on 9/4/2014.