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Organization
MEDICAL OUTPATIENT REHAB GWB
Active
Organization
MEDICAL OUTPATIENT REHAB GWB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SVETLANA CHAYEVSKY (MANAGER)
(212) 781-4720
Entity
Organization
Contact information
Practice address
436 FORT WASHINGTON AVE APT 1H, NEW YORK, NY 10033-3537
(212) 781-4720
(212) 923-9585
Mailing address
436 FORT WASHINGTON AVE APT 1H, NEW YORK, NY 10033-3537
(212) 781-4720
(212) 923-9585
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
160911
NY
Other
Enumeration date
03/03/2010
Last updated
03/03/2010
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