# REHABILITATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** mitchell martin
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508929274
- **Authorized official:** MS. MARINA MATTEI I O.T.A. (OCCUPATIONAL THERAPIST ASSISTANT)
- **Authorized official phone:** (917) 470-7040

## Contact information

- **Practice address:** 210 E 102ND ST, \#13H, NEW YORK, NY 10029-5937
- **Practice address phone:** (212) 876-0659
- **Practice address fax:** (212) 876-0659
- **Mailing address:** 210 E 102ND ST, \#13H, NEW YORK, NY 10029-5937
- **Mailing address phone:** (212) 876-0659
- **Mailing address fax:** (212) 876-0659

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | 003295-1 | NY | Yes |

## Other

- **Enumeration date:** 12/17/2006
- **Last updated:** 08/22/2020