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INNOVATIVE REHABILITATION CONSULTANT MEDICAL PC
NPI 1770880403
Clinic/Center - Pain in Rego Park, NY

Active since February 15, 2011
9701 66TH AVE, REGO PARK, NY 11374(718) 275-5200 Get Directions Write a Review

NPPES record last updated: July 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Innovative Rehabilitation Consultant Medical Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNOVATIVE REHABILITATION CONSULTANT MEDICAL PC (NPI 1770880403) is a healthcare organization registered as a pain in Rego Park, New York and active in the NPI registry since February 2011. The organization lists Dmitriy Fuzaylov, Ownder, as its authorized official.

NPPES Registry Identity

NPI1770880403
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NameINNOVATIVE REHABILITATION CONSULTANT MEDICAL PC
Location Address9701 66TH AVERego Park, NY 11374-4245
Mailing Address21429 Jamaica AveQueens Village, NY 11428-1733
Phone(718) 275-5200
Organization SubpartNo
Authorized OfficialDmitriy FuzaylovOwnder · (646) 784-3984
Enumeration DateFebruary 15, 2011
Last NPPES UpdateJuly 9, 2021
NPPES CertifiedJuly 9, 2021
✔ NPI 1770880403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities
Taxonomy Code261QP3300X
License✔ Licensed in NY · 241269
9701 66TH AVE, Rego Park, NY 11374
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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARGARITA FUZAYLOVA MD
Psychiatry & Neurology (Psychiatry)
9701 66TH AVE
REGO PARK, NY 11374
Queens County (718) 275-5200
LUC SERVICES INC.
Counselor (Mental Health)
9701 66TH AVE
REGO PARK, NY 11374
Queens County (917) 400-8354
DMITRIY FUZAYLOV MD
Anesthesiology (Pain Medicine)
9701 66TH AVE
REGO PARK, NY 11374
Queens County (718) 275-5200
MR. ALBERT KHANIMOV RPA-C
Physician Assistant (Surgical)
9701 66TH AVE
REGO PARK, NY 11374
Queens County (718) 423-0808
GLOBAL REHABILITATION MEDICAL PC
Internal Medicine
9701 66TH AVE
REGO PARK, NY 11374
Queens County (718) 275-5200
NEW HOPE MEDICAL PC
Psychiatry & Neurology (Psychiatry)
9701 66TH AVE
REGO PARK, NY 11374
Queens County (718) 275-2500
MRS. IRYNA SHEMELYUK LMHC
Counselor
9701 66TH AVE
REGO PARK, NY 11374
Queens County (917) 400-8354
DR. OLEG FUZAYLOV MD
Physical Medicine & Rehabilitation
9701 66TH AVE
REGO PARK, NY 11374
Queens County (718) 275-5200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Innovative Rehabilitation Consultant Medical PC's NPI number?

The NPI number for Innovative Rehabilitation Consultant Medical PC is 1770880403. It was assigned to this organization in the NPPES registry on February 15, 2011.

Where is Innovative Rehabilitation Consultant Medical PC located?

Innovative Rehabilitation Consultant Medical PC is located at 9701 66th Ave, Rego Park, NY 11374. The listed phone number is (718) 275-5200.

What is Innovative Rehabilitation Consultant Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

When was this NPI record last updated?

The NPPES record for Innovative Rehabilitation Consultant Medical PC was last updated on July 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.