ISLAND REHABILITATIVE SERVICES CORP. is an end-stage renal disease (esrd) treatment clinic center in Staten Island, NY. ISLAND REHABILITATIVE SERVICES CORP. NPI is 1235130840. The provider is registered as an organization entity type.
The provider's business location address is:
470 SEAVIEW AVE
STATEN ISLAND, NY
ZIP 10305-401
Phone: (718) 987-5942
Fax: (718) 667-9708
The provider's authorized official is Dominic Licciardi .
The authorized official title is Administrator and has the following contact phone number (718) 987-5942.
The CLIA number assigned to this NPI record is 33D0702674 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/4/2005 and was last updated on 7/21/2022.