Organization
HOMESIDE REHAB PA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YISROEL BRODY DPT (MANAGING MEMBER)
(718) 377-5000
Entity
Organization
Contact information
Practice address
4605 WERLEYS CORNER RD, NEW TRIPOLI, PA 18066-3418
(718) 377-5000
(719) 377-5002
Mailing address
3846 FLATLANDS AVE, BROOKLYN, NY 11234-3525
(718) 377-5000
(718) 377-5002
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/13/2022
Last updated
04/29/2022
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