Provider Demographics
NPI:1356532436
Name:METROPOLITAN MEDICAL & REHABILITATION PC
Entity type:Organization
Organization Name:METROPOLITAN MEDICAL & REHABILITATION PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAWEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HARHASH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-424-8660
Mailing Address - Street 1:2320 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11106-4192
Mailing Address - Country:US
Mailing Address - Phone:718-424-8660
Mailing Address - Fax:718-865-5146
Practice Address - Street 1:2320 BROADWAY
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11106-4192
Practice Address - Country:US
Practice Address - Phone:718-424-8660
Practice Address - Fax:718-865-5146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2017-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA100040755Medicare PIN
NYG100048585Medicare PIN