33D1018574 CLIA NUMBER - EAST COAST REHABILITATION INC DBA COLUMBUS CENTER FOR MEDICAL REHABILITATION

Laboratory Demographics

CLIA Number: 33D1018574

Facility Name: EAST COAST REHABILITATION INC DBA COLUMBUS CENTER FOR MEDICAL REHABILITATION

Facility Address:
1221 JEROME AVENUE
BRONX, NY
ZIP 10452
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Facility Phone Number: 718 538-8343

Facility Type: Comp. Outpatient Rehab Facility

Certificate Type: Waiver

NPI Number: 1477570315

Taxonomy: 261QR0401X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D1018574
LAB Type	Comp. Outpatient Rehab Facility
Facility Name	EAST COAST REHABILITATION INC DBA COLUMBUS CENTER FOR MEDICAL REHABILITATION
Street	1221 JEROME AVENUE
City	BRONX
State	NY
ZIP	10452
Phone	718 538-8343
CertificateType	4
CertificateEffectiveDate	10/27/2003
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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This page was last updated on: 4/23/2024