Organization
FEDCAP REHABILITATION SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE MCMAHON (PRESIDENT AND CEO)
(212) 727-4275
Entity
Organization
Contact information
Practice address
373 ROUTE 46 W, BLDG. D SUITE 110, FAIRFIELD, NJ 07004-2442
(973) 325-1200
(973) 325-1240
Mailing address
633 3RD AVE FL 6, NEW YORK, NY 10017-6733
(212) 727-4206
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0251127
—
NJ
Enumeration date
06/23/2010
Last updated
05/26/2016
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