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Organization
LIFELONG REHAB ENTERPRISES
Active
Organization
LIFELONG REHAB ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY CIOLINO OTR (PRESIDENT)
(631) 278-0665
Entity
Organization
Contact information
Practice address
143 CHARDONNAY DR, EAST QUOGUE, NY 11942-3829
(631) 278-0665
(631) 532-4886
Mailing address
143 CHARDONNAY DR, EAST QUOGUE, NY 11942-3829
(631) 278-0665
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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