Island Rehabilitative Services Corp.

NPI 1235130840 - Clinic/Center - 261QE0700X

NPI Details
NPI 1235130840
Enumeration Date 08/04/2005
Last Updated 01/05/2016
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name DOMINIC DOMINIC
Position ADMINISTRATOR
Phone (718) 987-5942
Fax (718) 667-9708
Practice Location
470 SEAVIEW AVE
STATEN ISLAND NY, 10305-3401, US
Phone (718) 987-5942
Fax (718) 667-9708
Business Location
97 NEW DORP LN
STATEN ISLAND NY, 10306-2364, US
Phone (718) 448-5641
Fax (718) 876-5969
Toxanomy
Taxonomy Code 261QE0700X
License State New York
License Number =========
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According to our database, Island Rehabilitative Services Corp. NPI is 1235130840, taxonomy code is 261QE0700X and license number is =========, license state is located at New York. Island Rehabilitative Services Corp. physically located at 470 Seaview Ave, Staten Island NY, 10305-3401. NPI Number 1033115704 has the healthcare provider type.

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1235130840 NPI number is provided on an as is basis without warranty of any kind. 1235130840 is maintained by the National Plan & Provider Enumeration System. The contents of Island Rehabilitative Services Corp. are for informational purposes only.