Premier East Physical Medicine and Rehabilitation, PC

NPI #1275829202 in Medford, New York

Provider Information

NPI Number: 1275829202
Entity Type: Organization
Organization Name: Premier East Physical Medicine and Rehabilitation, PC
Primary Specialty: Physical Medicine & Rehabilitation - Neuromuscular Medicine
Enumeration Date: Jun 28, 2011
Last Updated: Apr 7, 2020

Practice Location

Address: 2920 ROUTE 112
City: Medford
State: New York
ZIP Code: 11763-1451
Phone: (631) 698-3500

Authorized Official

Name: DR. RAJ TOLAT, MD
Title: OWNER
Phone: (631) 698-3500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Medicine & Rehabilitation - Neuromuscular Medicine — Neuromuscular Medicine	2081N0008X	Primary

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