Provider Demographics
NPI:1891944567
Name:ELITE MEDICAL & REHAB SERVICES, P.C.
Entity type:Organization
Organization Name:ELITE MEDICAL & REHAB SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAWEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HARHASH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-504-5923
Mailing Address - Street 1:8708 JUSTICE AVE
Mailing Address - Street 2:SUITE CG
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-4575
Mailing Address - Country:US
Mailing Address - Phone:516-504-5923
Mailing Address - Fax:516-752-1914
Practice Address - Street 1:56A MOTOR AVE
Practice Address - Street 2:
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-4038
Practice Address - Country:US
Practice Address - Phone:516-752-1910
Practice Address - Fax:516-752-1914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-17
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2371112208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty