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

Physical Medicine & Rehabilitation of New York, PC

Organization Specialist · NPI 1760675300

Physical Medicine & Rehabilitation of New York, PC is a Specialist in Rego Park, 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

9520 Queens Blvd
Rego Park, NY 11374-1136
Phone: (718) 459-1280
Fax: (718) 897-6175
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 218201 (NY)

Record details

NPI number1760675300
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gautam Khakhar — Medical Director · (718) 459-1280
NPI enumeratedAugust 27, 2007
Last updated in NPPESAugust 27, 2007
Mailing address9520 Queens Blvd, Rego Park, NY 11374-1136

Other providers in Rego Park