Provider Demographics
NPI:1417732256
Name:HEALING QUEST REHABILITATION CENTER, P.C.
Entity Type:Organization
Organization Name:HEALING QUEST REHABILITATION CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MONIKA
Authorized Official - Middle Name:EVE
Authorized Official - Last Name:VAYNBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:917-742-2211
Mailing Address - Street 1:82 STREAM BANK DR
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-9550
Mailing Address - Country:US
Mailing Address - Phone:917-742-2211
Mailing Address - Fax:732-226-0242
Practice Address - Street 1:1887 RICHMOND AVE STE 4
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-3923
Practice Address - Country:US
Practice Address - Phone:718-982-6496
Practice Address - Fax:732-226-0242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-29
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty