IRVINGTON EMERGENT CARE AND REHABILITATION CENTER INC. NPI 1588610414

NPI Information

IRVINGTON EMERGENT CARE AND REHABILITATION CENTER INC. is a specialist in Irvington, NJ. 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. IRVINGTON EMERGENT CARE AND REHABILITATION CENTER INC. NPI is 1588610414. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12 KROTIK PL
IRVINGTON, NJ
ZIP 07111-708
Phone: (973) 373-3000

The provider's authorized official is Rudolph Willis .
The authorized official title is Owner and has the following contact phone number (973) 373-3000.

The CLIA number assigned to this NPI record is 31D0940346 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 11/5/2007.

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:

Other Identifiers

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

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