Organization
ST CHARLES REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN HALLEY (PHYSICAL THERAPIST/ CENTER MANAGER)
(631) 577-3400
Entity
Organization
Contact information
Practice address
1895 WALT WHITMAN RD, MELVILLE, NY 11747-3031
(631) 577-3400
(631) 577-3409
Mailing address
1895 WALT WHITMAN RD, MELVILLE, NY 11747-3031
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
038013
NY
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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