Provider Demographics
NPI:1275761611
Name:COMPREHENSIVE REHAB SERVICES
Entity Type:Organization
Organization Name:COMPREHENSIVE REHAB SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:HENRIETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHARACH
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:347-581-9180
Mailing Address - Street 1:810 E 3RD ST
Mailing Address - Street 2:LST FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-5702
Mailing Address - Country:US
Mailing Address - Phone:347-581-9180
Mailing Address - Fax:718-436-2152
Practice Address - Street 1:810 E 3RD ST
Practice Address - Street 2:LST FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-5702
Practice Address - Country:US
Practice Address - Phone:347-581-9180
Practice Address - Fax:718-436-2152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-24
Last Update Date:2009-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001583-1251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services