Organization
FEDCAP REHABILITATION SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTINE MCMAHON EXECUTIVE DIRECTOR (CEO)
(212) 727-4275
Entity
Organization
Contact information
Practice address
1011A WASHINGTON AVE, BRONX, NY 10456-6628
(718) 764-5127
Mailing address
633 3RD AVE FL 6, NEW YORK, NY 10017-6733
(212) 727-4227
(212) 727-4374
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
6001L001
NY
261QM0850X
Adult Mental Health Clinic/Center
Primary
8805001A
NY
Other
Enumeration date
12/03/2008
Last updated
04/03/2019
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