Provider Demographics
NPI:1083063739
Name:NEW YORK REHABILITATION MEDICINE, PLLC
Entity Type:Organization
Organization Name:NEW YORK REHABILITATION MEDICINE, PLLC
Other - Org Name:ALLEN N. WILKINS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:N
Authorized Official - Last Name:WLKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-472-0077
Mailing Address - Street 1:133 E 58TH STREET
Mailing Address - Street 2:SUITE 811
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022
Mailing Address - Country:US
Mailing Address - Phone:212-472-0077
Mailing Address - Fax:212-472-4127
Practice Address - Street 1:133 E 58TH STREET
Practice Address - Street 2:SUITE 811
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022
Practice Address - Country:US
Practice Address - Phone:212-472-0077
Practice Address - Fax:212-472-4127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-03
Last Update Date:2016-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2531791261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation