Queens Boulevard Extended Care Facility Corp

NPI #1821419623 in Woodside, New York

Provider Information

NPI Number: 1821419623
Entity Type: Organization
Organization Name: Queens Boulevard Extended Care Facility Corp
Primary Specialty: Physical Therapist
Enumeration Date: Dec 20, 2013
Last Updated: Dec 20, 2013

Practice Location

Address: 6111 QUEENS BLVD
City: Woodside
State: New York
ZIP Code: 11377-4965
Phone: (718) 205-0298

Authorized Official

Name: JOSEPH R MALONE, CPA
Title: CFO
Phone: (718) 205-0298

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Respiratory Therapist, Certified - Pulmonary Rehabilitation — Pulmonary Rehabilitation	2278P1005X
Physical Therapist	225100000X	Primary

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