Provider Demographics
NPI:1801964192
Name:ALLIED REHAB MEDICINE SERVICES, P.C.
Entity type:Organization
Organization Name:ALLIED REHAB MEDICINE SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BENSON
Authorized Official - Middle Name:GO
Authorized Official - Last Name:ONGHAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-398-4797
Mailing Address - Street 1:PO BOX 711
Mailing Address - Street 2:
Mailing Address - City:EAST SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11733-0770
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:285 SILLS RD BLDG 4D
Practice Address - Street 2:
Practice Address - City:EAST PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772-4857
Practice Address - Country:US
Practice Address - Phone:631-398-4797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2023-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY216060208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY3050699OtherAETNA
NY2I317OtherEMPIRE BCBS
NYP2786625OtherOXFORD
NY1716123007OtherCIGNA
NY3050699OtherAETNA
=========OtherUHC