Organization
HOMESIDE REHAB, PT, OT, SLP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YISROEL BRODY DPT (DIRECTOR)
(917) 754-6634
Entity
Organization
Contact information
Practice address
441 ROUTE 306 STE 2, MONSEY, NY 10952-1234
(718) 377-5000
(718) 377-5002
Mailing address
296 ROUTE 59 STE 12-25, AIRMONT, NY 10901-5322
(718) 377-5000
(718) 377-5002
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
016813
NY
261QP2000X
Physical Therapy Clinic/Center
Primary
030125
NY
261QX0100X
Occupational Medicine Clinic/Center
016301
NY
Other
Enumeration date
02/25/2009
Last updated
09/11/2025
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