| Rtm Physiatry And Psychiatry Pllc | |
|
8916 175th St Ste Cf3 Jamaica NY 11432-5557 | |
| (718) 487-3109 | |
| (718) 487-3081 |
| Full Name | Rtm Physiatry And Psychiatry Pllc |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 8916 175th St Ste Cf3, Jamaica, New York |
| Authorized Official Name and Position | Thresiamma Mathew (OWNER) |
| Authorized Official Contact | 7186460772 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rtm Physiatry And Psychiatry Pllc 2430 W 3rd St Brooklyn NY 11223-5930 Ph: () - | Rtm Physiatry And Psychiatry Pllc 8916 175th St Ste Cf3 Jamaica NY 11432-5557 Ph: (718) 487-3109 |
| NPI Number | 1417247883 |
|---|---|
| Provider Enumeration Date | 04/19/2011 |
| Last Update Date | 03/08/2015 |
| Medicare PECOS PAC ID | 8921285388 |
|---|---|
| Medicare Enrollment ID | O20110613000027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417247883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 247349 (New York) | Primary |
| Provider Name | Thresiamma Mathew |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1558519405 PECOS PAC ID: 4486713419 Enrollment ID: I20081106000079 |
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