Organization
ADVANCED REHABILITATION, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA SAPOFF PT (OWNER)
(917) 520-4337
Entity
Organization
Contact information
Practice address
2305 HYLON BLVD., STATEN ISLAND, NY 10306
(718) 667-0297
(718) 667-1945
Mailing address
2305 HYLAN BLVD., STATEN ISLAND, NY 10306
(718) 667-0297
(718) 667-1945
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
015531
NY
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA01008700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058402
MEDICARE PROVIDER NUMBER
NJ
Enumeration date
09/04/2007
Last updated
01/23/2013
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