Organization
NORTH SHORE REHABILITATION ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX PYATIGORSKIY (PRESIDENT)
(781) 593-9093
Entity
Organization
Contact information
Practice address
121 BROAD ST, LYNN, MA 01901-1629
(781) 593-9090
(781) 593-9093
Mailing address
121 BROAD ST, LYNN, MA 01901-1629
(781) 593-9090
(781) 593-9093
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
58
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0038052
NEIGHBORHOOD HEALTH PLAN
MA
01
—
644740
TUFTS
MA
05
—
9751441
—
MA
01
—
AA76157
HARVARD PILGRIM HEALTH
MA
01
—
PT0272
COMMONWEALTH CARE ALLIAN.
MA
01
—
Y61455
BCBS
MA
Enumeration date
12/26/2006
Last updated
05/31/2012
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