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Organization
LEI REHABILITATION SERVICE PT PC
Active
Organization
LEI REHABILITATION SERVICE PT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH M RUFINO RPT (RPT)
(718) 886-2820
Entity
Organization
Contact information
Practice address
5830 MAIN ST # LL, FLUSHING, NY 11355-5336
(718) 886-2820
(718) 886-2120
Mailing address
5830 MAIN ST FL 2, FLUSHING, NY 11355-5336
(718) 886-8180
(718) 886-8183
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
025629
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025629
LICENSE
NY
Enumeration date
02/07/2011
Last updated
02/07/2011
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