Queens Neurorehabilitation, PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

208835 Issued in NY

Legal business name

QUEENS NEUROREHABILITATION, PC

Practice address

8727 Myrtle Ave
Glendale, NY 11385-7847

Phone

(718) 850-1500

Fax

(718) 850-4444

NPI assigned

Mar 27, 2009

Organization subpart

No

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

Authorized official

Name

Taufiq Azamy, MD

Title

Neurologist

Phone

(718) 850-1500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238112000000",
    "number": "1760624449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8727 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857847",
            "telephone_number": "718-850-1500",
            "fax_number": "718-850-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8727 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857847",
            "telephone_number": "718-850-1500",
            "fax_number": "718-850-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS NEUROREHABILITATION, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-03-27",
        "status": "A",
        "authorized_official_last_name": "AZAMY",
        "authorized_official_first_name": "TAUFIQ",
        "authorized_official_title_or_position": "NEUROLOGIST",
        "authorized_official_telephone_number": "718-850-1500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "208835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Caitlin Elizabeth Quinn, LMSW
• Lisangelie Ramos
• Marcia Ramos, LCSW
• Andrew Brent Ravin, DO
• Recovery Physical Therapy,PC

• Medical Specialty Clinic/Center in Glendale, NY
• Providers in Glendale, NY by specialty
• Medical Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.