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Organization

SCORE REHABILITATION, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES PATRICK SHIELDS JR. PT (CEO/MANAGER)
(646) 265-1334
Entity
Organization

Contact information

Practice address
23-07 30TH DRIVE,, SUITE 1B, ASTORIA, NY 11102
(646) 265-1334
(917) 832-6795
Mailing address
23-07 30TH DRIVE,, SUITE 1B, ASTORIA, NY 11102
(646) 265-1334
(917) 832-6795

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
029386
NY
251E00000X
Home Health Agency
261QP2000X
Physical Therapy Clinic/Center
Primary
029386
NY

Other

Enumeration date
05/14/2009
Last updated
12/02/2009
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