NY MOBILE REHAB LLC NPI 1215448022

NPI Information

NPI: 1215448022
Provider Name: NY MOBILE REHAB LLC

Doing Business As: CRYSTAL ADULT DAY CARE CENTER

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
13829 QUEENS BLVD
JAMAICA, NY
ZIP 11435
Phone: (917) 470-4720
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NY MOBILE REHAB LLC is an adult day care clinic center in Jamaica, NY. NY MOBILE REHAB LLC NPI is 1215448022. The provider is registered as an organization entity type.
The provider Is Doing Business As Crystal Adult Day Care Center.

The provider's business location address is:

13829 QUEENS BLVD
JAMAICA, NY
ZIP 11435-641
Phone: (917) 470-4720

The provider's authorized official is Mariya Gurg .
The authorized official title is Ceo and has the following contact phone number (917) 373-5913.

The enumeration date for this NPI number is 10/19/2017 and was last updated on 6/16/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA0600X	Clinic/Center	Adult Day Care			Yes

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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