Provider Demographics
NPI:1366039240
Name:24 7 NY MEDICAL HEALTH PROVIDER PC
Entity Type:Organization
Organization Name:24 7 NY MEDICAL HEALTH PROVIDER PC
Other - Org Name:GO REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KANWARPAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:GREWAL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:516-743-9450
Mailing Address - Street 1:30 MERRICK AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-1580
Mailing Address - Country:US
Mailing Address - Phone:516-743-9450
Mailing Address - Fax:516-743-9451
Practice Address - Street 1:30 MERRICK AVE STE 101
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-1580
Practice Address - Country:US
Practice Address - Phone:516-743-9450
Practice Address - Fax:516-743-9451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-28
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty