NPI | 1679094072 |
---|---|
Entity Type | Organization |
Authorized Contact | CHEVY FRANKEL CEO 845-774-7744 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Additional Taxonomies | 171W00000X Contractor |
Enumeration Date | 2017-07-06 |
Last Update Date | 2020-12-10 |