Organization
REHABILITATION MEDICINE AND SPORTS SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL VR DECOSTA MD (PRESIDENT)
(718) 852-6949
Entity
Organization
Contact information
Practice address
189 MONTAGUE ST, SUITE 700, BROOKLYN, NY 11201-3610
(718) 852-6949
(718) 852-7075
Mailing address
189 MONTAGUE ST, SUITE 700, BROOKLYN, NY 11201-3610
(718) 852-6949
(718) 852-7075
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
183780
NY
Other
Enumeration date
11/05/2007
Last updated
06/27/2013
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