Provider Demographics
NPI:1447673603
Name:DR FU REHABILITATION MEDICAL PC
Entity type:Organization
Organization Name:DR FU REHABILITATION MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ATTENDING PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:HONGWEI
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-732-4297
Mailing Address - Street 1:4125 KISSENA BLVD
Mailing Address - Street 2:6MM
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3150
Mailing Address - Country:US
Mailing Address - Phone:718-785-7515
Mailing Address - Fax:347-732-4299
Practice Address - Street 1:13710 FRANKLIN AVE
Practice Address - Street 2:SUITE L2
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3835
Practice Address - Country:US
Practice Address - Phone:347-732-4297
Practice Address - Fax:347-732-4299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-23
Last Update Date:2014-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care