Organization
SKILLED CARE PT OT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAVIVA SARF OT (OWNER)
(845) 596-1719
Entity
Organization
Contact information
Practice address
482 UNIONDALE AVE, UNIONDALE, NY 11553-2201
(845) 596-1719
Mailing address
482 UNIONDALE AVE, UNIONDALE, NY 11553-2201
(845) 596-1719
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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