Organization
WALL STREET PHYSICAL MEDICINE & REHABILITATION, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD KOFFLER M.D. (PRESIDENT)
(212) 248-0077
Entity
Organization
Contact information
Practice address
61 BROADWAY, SUITE 900, NEW YORK, NY 10006-2701
(212) 248-0077
(212) 747-0939
Mailing address
61 BROADWAY, SUITE 900, NEW YORK, NY 10006-2701
(212) 248-0077
(212) 747-0939
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/19/2007
Last updated
08/22/2020
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