# CHILDREN'S EVALUATION AND REHABILITATION CENTER - DFSU

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255469896
- **Authorized official:** JESSICA ANNMARIE OLIVER LMSW (CLINICAL SOCIAL WORKER)
- **Authorized official phone:** (718) 430-3970

## Contact information

- **Practice address:** 1165 MORRIS PARK AVE, 4TH FLOOR, BRONX, NY 10461-1915
- **Practice address phone:** (718) 430-3970
- **Practice address fax:** (718) 823-4877
- **Mailing address:** 1165 MORRIS PARK AVE, 4TH FLOOR, BRONX, NY 10461-1915
- **Mailing address phone:** (718) 430-3970
- **Mailing address fax:** (718) 823-4877

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | 067708-1 | NY | Yes |

## Other

- **Enumeration date:** 03/02/2007
- **Last updated:** 08/22/2020