Organization
COMMUNITY REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELIX ENABOSI (SOLE PROPRIETOR)
(718) 282-2511
Entity
Organization
Contact information
Practice address
1822 NOSTRAND AVE, BROOKLYN, NY 11226-7132
(718) 282-2511
Mailing address
170 PULASKI AVE, STATEN ISLAND, NY 10303-2722
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
003058-1
NY
Other
Enumeration date
01/29/2007
Last updated
08/22/2020
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