# MEDICINE AND REHABILITATION PC

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

## Provider details

- **NPI number:** 1407893662
- **Authorized official:** ANDREI LOGVINENKO M.D. (PRESIDENT)
- **Authorized official phone:** (201) 568-8500

## Contact information

- **Practice address:** 333 SYLVAN AVE STE 111, ENGLEWOOD CLIFFS, NJ 07632-2705
- **Practice address phone:** (201) 568-8500
- **Practice address fax:** (201) 568-8518
- **Mailing address:** PO BOX 37, FRANKLIN LAKES, NJ 07417-0037
- **Mailing address phone:** (201) 568-8500
- **Mailing address fax:** (201) 568-8518

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MA67595 | NJ | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | MA63969 | NJ | — |

## Other

- **Enumeration date:** 05/31/2006
- **Last updated:** 01/13/2011