Organization
IVYREHAB NETWORK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RUCKER (CEO)
(914) 294-4050
Entity
Organization
Contact information
Practice address
200 BOWMAN DR STE E104, VOORHEES, NJ 08043-9623
(856) 282-0337
(856) 809-2142
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(914) 294-4050
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
07/10/2020
Last updated
08/12/2022
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