Crystal Ray Medical P.c. | |
9614 63rd Dr, Suite 200, Rego Park, NY 11374-2239 | |
(718) 896-0111 | |
(718) 896-2161 |
Full Name | Crystal Ray Medical P.c. |
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Type | Facility |
Speciality | Psychiatry & Neurology - Neurology |
Location | 9614 63rd Dr, Rego Park, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881819308 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Provider Name | Igor E Cohen |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1023046968 PECOS PAC ID: 6507849296 Enrollment ID: I20040611001515 |
Provider Name | Ahmed M Maati |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1205272887 PECOS PAC ID: 2062647183 Enrollment ID: I20131028000369 |
Provider Name | Mary Grace B Francisco |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1386023018 PECOS PAC ID: 3375834203 Enrollment ID: I20160623000295 |
Provider Name | Ahmed Mohamed Kadry Hassanein |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1407347156 PECOS PAC ID: 1254672736 Enrollment ID: I20190410001218 |
Mailing Address | Practice Location Address |
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Crystal Ray Medical P.c. 9614 63rd Dr, Suite 200, Rego Park, NY 11374-2239 Ph: (718) 896-0111 | Crystal Ray Medical P.c. 9614 63rd Dr, Suite 200, Rego Park, NY 11374-2239 Ph: (718) 896-0111 |