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Organization
NORTHEAST REHABILITATION, INC.
Active
Organization
NORTHEAST REHABILITATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SUDHIR VYANKATRAO TAWALARE PT (VICE- PRESIDENT)
(845) 623-6566
Entity
Organization
Contact information
Practice address
150 SOUTH PEARL STREET, SUITE A, PEARL RIVER, NY 10965
(845) 623-6566
(845) 623-6556
Mailing address
281 SPRING VALLEY ROAD, PARK RIDGE, NJ 07656
(845) 623-6566
(845) 623-6556
Taxonomy
Speciality
Code
Description
License number
State
2251H1200X
Hand Physical Therapist
012255-1
NY
2251X0800X
Orthopedic Physical Therapist
Primary
012255-1
NY
Other
Enumeration date
06/23/2006
Last updated
12/14/2015
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