Organization
NORTHEAST REHABILITATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SUDHIR V TAWALARE PT, OCS, CHT (VICE-PRESIDENT)
(845) 623-6566
Entity
Organization
Contact information
Practice address
275 N MIDDLETOWN RD, SUITE 1B, PEARL RIVER, NY 10965-1188
(845) 623-6566
(845) 623-6556
Mailing address
281 SPRING VALLEY RD, PARK RIDGE, NJ 07656-1017
(845) 623-6566
(845) 623-6556
Taxonomy
Speciality
Code
Description
License number
State
2251H1200X
Hand Physical Therapist
012255-1
NY
2251X0800X
Orthopedic Physical Therapist
Primary
012255-1
NY
Other
Enumeration date
07/01/2011
Last updated
12/14/2015
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