Organization
DYNAMIC AT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS IRENE CABALLERO OTR (MANAGING DIRECTOR)
(201) 564-7515
Entity
Organization
Contact information
Practice address
32 HANSEN ST, TAPPAN, NY 10983-1717
(201) 564-7515
(201) 564-7514
Mailing address
32 HANSEN ST, TAPPAN, NY 10983-1717
(201) 564-7515
(201) 564-7514
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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