Organization
ACTIVE LIFE MEDICAL, PLLC
Active
Other names
Arthritis Knee Pain Centers
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J RUSH MD (CHAIRMAN & CHIEF EXECUTIVE OFFICER)
(301) 928-1697
Entity
Organization
Contact information
Practice address
311 NORTH ST STE 406, WHITE PLAINS, NY 10605-2217
(914) 785-7752
(914) 363-0966
Mailing address
311 NORTH ST STE 406, WHITE PLAINS, NY 10605-2217
(914) 785-7752
(914) 363-0966
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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