Island Rehabilitative Services Corp in Staten Island - End-stage Renal Disease (esrd) Treatment
Island Rehabilitative Services Corp - NPI 1669453502
Island Rehabilitative Services Corp is a End-stage Renal Disease (esrd) Treatment in Staten Island, New York. Island Rehabilitative Services Corp practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Island Rehabilitative Services Corp is 1669453502. The last update date is 2011-09-28.
Island Rehabilitative Services Corp's current location address is 97 New Dorp Ln, Staten Island, New York. You can contact this provider via phone number 7184485641 and fax number 7188765969. The mailing address for Island Rehabilitative Services Corp is 97 New Dorp Ln, Staten Island, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Island Rehabilitative Services Corp |
|---|---|
| Address | 97 New Dorp Ln, Staten Island, New York |
| Phone Number | 7184485641 |
| Fax Number | 7188765969 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Licciardi Dominic |
| Telephone Number | 7189875942 |
NPI Number Detail
| NPI Number | 1669453502 |
|---|---|
| Provider Enumeration Date | 2005-11-08 |
| Last Updated Date | 2011-09-28 |
Provider Mailing Address Detail
| Address | 97 New Dorp Ln |
|---|---|
| City | Staten Island |
| State | New York (NY) |
| Post Code | 103062364 |
| Phone Number | 7184485641 |
| Fax Number | 7188765969 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | 7004204R |
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Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3004235 | NY | -- | |
| 519755 | NY | -- |
Post Comment/ Review Below
What is the Island Rehabilitative Services Corp's 1669453502?
The Island Rehabilitative Services Corp's NPI (National Provider Identifier) Number is 1669453502. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Island Rehabilitative Services Corp is physically located?
The Island Rehabilitative Services Corp is situated at the following address: 97 New Dorp Ln, Staten Island, NY 103062364.
What is Island Rehabilitative Services Corp's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Island Rehabilitative Services Corp is End-stage Renal Disease (esrd) Treatment, and the taxonomy code that categorizes this field of expertise is 261Qe0700X.
On what date was the 1669453502 assigned to Island Rehabilitative Services Corp?
The Island Rehabilitative Services Corp was issued its 1669453502 on 2005-11-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Island Rehabilitative Services Corp most recently updated or revised?
The information pertaining to Island Rehabilitative Services Corp, including its address, specialty, and other relevant details, was last updated or revised on 2011-09-28.