# NJNYC MIDTOWN MEDICAL REAB LLC

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

## Provider details

- **NPI number:** 1548621600
- **Authorized official:** MELISSA NIELI (BILLING MANAGER)
- **Authorized official phone:** (914) 376-6100

## Contact information

- **Practice address:** 1410 BROADWAY FL 23, SUITE 1, NEW YORK, NY 10018-5023
- **Practice address phone:** (914) 376-6100
- **Mailing address:** 1410 BROADWAY FL 23, SUITE 1, NEW YORK, NY 10018-5023

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/16/2016
- **Last updated:** 03/16/2016