Queens Physical Medicine & Rehab, PC

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

License

200303 Issued in NY

Legal business name

QUEENS PHYSICAL MEDICINE & REHAB, PC

Practice address

8635 Queens Blvd
1B
Elmhurst, NY 11373-4434

Phone

(718) 533-8588

Fax

(718) 533-1249

NPI assigned

Nov 12, 2009

Last updated

Nov 12, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Josephine Brawner, M.D.

Title

Medical Director

Phone

(718) 533-8588

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1649507526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8635 QUEENS BLVD",
            "address_2": "1B",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734434",
            "telephone_number": "718-533-8588",
            "fax_number": "718-533-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8635 QUEENS BLVD",
            "address_2": "1B",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734434",
            "telephone_number": "718-533-8588",
            "fax_number": "718-533-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS PHYSICAL MEDICINE & REHAB, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-12",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "BRAWNER",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-533-8588",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NY",
            "license": "200303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Queens Center Adult Day Care LLC
• Queens Center Chiropractic PC
• Queens Dental Associates PC (Queens Center Dental PC)
• Queens Medical Office, P.C.
• Queens Pediatric Cardiology, PC
• Queens Rehabilitation Center
• Queens Spine Chiropractic PC
• Queens Vision Center Inc
• Mianna Rashida Questelles, LCSW
• Tanya Quinn

• Rehabilitation Practitioner in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Rehabilitation Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.