Provider Demographics
NPI:1225658933
Name:LYMPHADEMA CARE LLC
Entity Type:Organization
Organization Name:LYMPHADEMA CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEM.
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHARF
Authorized Official - Suffix:
Authorized Official - Credentials:MS/OTR/L,CLT
Authorized Official - Phone:845-270-3336
Mailing Address - Street 1:4 MURRAY DR
Mailing Address - Street 2:
Mailing Address - City:AIRMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10952-3814
Mailing Address - Country:US
Mailing Address - Phone:845-357-4117
Mailing Address - Fax:
Practice Address - Street 1:4 MURRAY DR
Practice Address - Street 2:
Practice Address - City:AIRMONT
Practice Address - State:NY
Practice Address - Zip Code:10952-3814
Practice Address - Country:US
Practice Address - Phone:845-357-4117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-22
Last Update Date:2020-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty