Organization
SANDS POINT MEDICAL REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDOLPH ROSARION (OWNER/PRESIDENT)
(718) 701-5949
Entity
Organization
Contact information
Practice address
12010 15TH AVE, SUITE 6, COLLEGE POINT, NY 11356-1617
(718) 701-5949
(718) 701-5949
Mailing address
12010 15TH AVE, SUITE 6, COLLEGE POINT, NY 11356-1617
(718) 701-5949
(718) 701-5949
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
201787
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134305311
NPI
—
Enumeration date
07/16/2008
Last updated
11/21/2013
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