Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Front Street Medical PC

Organization Physical Medicine & Rehabilitation Physician · NPI 1790992030

Front Street Medical PC is a Physical Medicine & Rehabilitation Physician in Forest Hills, 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

11045 Queens Blvd Ste AA
Forest Hills, NY 11375-5501
Phone: (718) 268-4468
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 228173 (NY)

Record details

NPI number1790992030
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Khanan — President · (516) 565-4370
NPI enumeratedMay 17, 2007
Last updated in NPPESAugust 22, 2020
Mailing address717 Front St, Hempstead, NY 11550-4534

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