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Organization
HOMESIDE REHAB AGENCY, LLC
Active
Organization
HOMESIDE REHAB AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YISROEL BRODY DPT (MEMBER)
(718) 377-5000
Entity
Organization
Contact information
Practice address
3846 FLATLANDS AVE, BROOKLYN, NY 11234-3525
(718) 377-5000
(718) 377-5002
Mailing address
3846 FLATLANDS AVE, BROOKLYN, NY 11234-3525
(718) 377-5000
(718) 377-5002
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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