Provider Demographics
NPI:1184032831
Name:REHABWORK
Entity Type:Organization
Organization Name:REHABWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA CHARISMA
Authorized Official - Middle Name:
Authorized Official - Last Name:SY
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:347-427-6676
Mailing Address - Street 1:3280 ROCHAMBEAU AVE
Mailing Address - Street 2:APT 1L
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-3010
Mailing Address - Country:US
Mailing Address - Phone:347-427-6676
Mailing Address - Fax:347-427-6676
Practice Address - Street 1:3280 ROCHAMBEAU AVE
Practice Address - Street 2:APT 1L
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-3010
Practice Address - Country:US
Practice Address - Phone:347-427-6676
Practice Address - Fax:347-427-6676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-25
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026722172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty