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Organization
EMORY REHABILITATION SERVICE, INC.
Active
Organization
EMORY REHABILITATION SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SUNDAY A MAKO P.T (DIRECTOR OF REHABILITATION)
(718) 848-3275
Entity
Organization
Contact information
Practice address
12506 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419-2234
(718) 848-3275
(718) 848-3929
Mailing address
120 WEBER AVE, SAYREVILLE, NJ 08872-1071
(732) 254-8865
(732) 254-8865
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
013592-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528013893
NPI
NY
Enumeration date
04/17/2012
Last updated
04/17/2012
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