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Organization

IVYREHAB DELAWARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL RUCKER (CEO)
(631) 580-5200
Entity
Organization

Contact information

Practice address
2710 PHILADELPHIA PIKE STE E, CLAYMONT, DE 19703-2568
(631) 580-5200
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(914) 294-4050

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Enumeration date
11/21/2019
Last updated
08/12/2022
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