Organization
IVYREHAB FOCUS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RUCKER (CEO)
(914) 777-8700
Entity
Organization
Contact information
Practice address
1738 CELANESE RD STE 102, ROCK HILL, SC 29732-1731
(803) 670-3067
Mailing address
1377 MOTOR PKWY STE 307, ISLANDIA, NY 11749-5258
(631) 580-5200
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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