Organization
BRC REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZHANNA BASINA (PRESIDENT)
(973) 418-1044
Entity
Organization
Contact information
Practice address
24-20 BROADWAY, FAIR LAWN, NJ 07410-3057
(201) 797-1177
Mailing address
24-20 BROADWAY, FAIR LAWN, NJ 07410-3057
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
NJ
Other
Enumeration date
06/19/2009
Last updated
06/19/2009
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