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MEDICAL OUTPATIENT REHAB GWB NPI 1841513967


NPI Information

NPI: 1841513967
Provider Name: MEDICAL OUTPATIENT REHAB GWB
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
436 FORT WASHINGTON AVE APT 1H
NEW YORK, NY
ZIP 10033
Phone: (212) 781-4720
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MEDICAL OUTPATIENT REHAB GWB is a specialist in New York, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MEDICAL OUTPATIENT REHAB GWB NPI is 1841513967. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

436 FORT WASHINGTON AVE APT 1H
NEW YORK, NY
ZIP 10033-537
Phone: (212) 781-4720
Fax: (212) 923-9585

The provider's authorized official is Svetlana Chayevsky .
The authorized official title is Manager and has the following contact phone number (212) 781-4720.

The enumeration date for this NPI number is 3/3/2010 and was last updated on 3/3/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist160911NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A63448MEDICARE UPINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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