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

Physical Medicine and Rehabilitation of Ny

Organization Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1528191830

Physical Medicine and Rehabilitation of Ny is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Bronx, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007

Practice location Address checks out

3815 Putnam Ave W
Bronx, NY 10463-2442
Phone: (718) 549-7260
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X · Licence 218201 (NY)

Record details

NPI number1528191830
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gautam Khakhar — Medical Director · (718) 549-7260
NPI enumeratedMarch 14, 2007
Last updated in NPPESAugust 22, 2020
Mailing address9520 Queens Blvd, Rego Park, NY 11374-1136

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