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Organization
PORT REHAB MEDICAL P.C.
Active
Organization
PORT REHAB MEDICAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIRMAL KADE M.D. (OWNER)
(718) 677-0937
Entity
Organization
Contact information
Practice address
535 BROADHOLLOW RD STE A10, MELVILLE, NY 11747-3701
(718) 677-0937
Mailing address
3857 KINGS HWY, STE. 1I, BROOKLYN, NY 11234-2943
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
154738-2
NY
Other
Enumeration date
04/23/2007
Last updated
06/17/2008
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