Organization
ACTIVE LIFE HEALTH OF GARDEN CITY MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J RUSH (OWNER)
(301) 928-1697
Entity
Organization
Contact information
Practice address
623 STEWART AVE, GARDEN CITY, NY 11530-4771
(516) 331-2082
(516) 784-5232
Mailing address
623 STEWART AVE, GARDEN CITY, NY 11530-4771
(516) 331-2082
(516) 784-5232
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
08/05/2019
Last updated
08/07/2019
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