Provider Demographics
NPI:1811412331
Name:FOREST HILLS PHYSICAL MEDICINE & REHABILITATION SERVICES PC
Entity Type:Organization
Organization Name:FOREST HILLS PHYSICAL MEDICINE & REHABILITATION SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:GASALBERTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-892-8884
Mailing Address - Street 1:11510 QUEENS BLVD STE UL1
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-7015
Mailing Address - Country:US
Mailing Address - Phone:718-544-7708
Mailing Address - Fax:718-793-2942
Practice Address - Street 1:11510 QUEENS BLVD STE UL1
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-7015
Practice Address - Country:US
Practice Address - Phone:718-544-7708
Practice Address - Fax:718-793-2942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty