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Organization

NY MOBILE REHAB LLC

Active
Parent organization
NY MOBILE REHAB LLC
Other names
crystal adult day care center
Organization subpart
Yes

Provider details

NPI number
Legal business name
NY MOBILE REHAB LLC
Authorized official
MARIYA GURG (CEO)
(917) 373-5913
Entity
Organization

Contact information

Practice address
13829 QUEENS BLVD, JAMAICA, NY 11435-2641
(917) 470-4720
Mailing address
11044 65TH AVE, FOREST HILLS, NY 11375-1422

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Enumeration date
10/19/2017
Last updated
06/16/2018
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