NPI 1174692636

Prime Medical & Rehab. P.C.

Organisation Preferred Provider Organization Flushing, NY

Practice location

Address: 15319 Union Tpke, Flushing, NY 11367-3943
Phone: (718) 380-8200
Fax: (718) 380-5381

Authorised official

Name: Ayman Hadhoud
Title: M.D.
Phone: (718) 380-8200

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 214985 (NY)

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Registry record

NPI: 1174692636
Entity type: Organization
NPI issued: 7 Nov 2006
Record last updated: 9 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.