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Queens Blvd Ext Care Facility Management LLC — NPI 1285034678, Woodside, NY | NPI Central

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NPI 1285034678

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Queens Blvd Ext Care Facility Management LLC

NPI 1285034678 · Comprehensive Outpatient Rehabilitation Facility (CORF) · Woodside, NY

Provider details

NPI number: 1285034678
Entity type: Organization
Primary specialty: Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
Organization subpart: No
Authorized official: Joseph Malone, Cfo(718) 205-0298
License: 703410N (NY)

Specialties & taxonomies

Comprehensive Outpatient Rehabilitation Facility (CORF)Primary261QR0401XLicense 703410N (NY)
Ambulatory Health Care Facilities

Practice location

6111 Queens Blvd

Woodside, NY 11377-4965

Phone: (718) 205-0298

Approximate (ZIP-level) locationGet directions

More NY providers

Mailing address

6111 Queens Blvd

Woodside, NY 11377-4965

Other names (DBA / former)

Doing business as: Queens Blvd Ext Care

Registry dates

Enumerated: 2014-09-04
Last updated: 2014-09-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.