Provider Demographics
NPI:1295976033
Name:R.A.B. CARE PHYSICAL THERAPY, P.C.
Entity type:Organization
Organization Name:R.A.B. CARE PHYSICAL THERAPY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST: CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RODRIGO
Authorized Official - Middle Name:ABUBO
Authorized Official - Last Name:BANTING
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:718-468-2989
Mailing Address - Street 1:9408 214TH PL
Mailing Address - Street 2:
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11428-1725
Mailing Address - Country:US
Mailing Address - Phone:718-468-2989
Mailing Address - Fax:718-468-2989
Practice Address - Street 1:9408 214TH PL
Practice Address - Street 2:
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11428-1725
Practice Address - Country:US
Practice Address - Phone:718-468-2989
Practice Address - Fax:718-468-2989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-06
Last Update Date:2009-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy