Provider Demographics
NPI:1306013370
Name:ALL MED AND REHABILITATION OF NEW YOURK
Entity Type:Organization
Organization Name:ALL MED AND REHABILITATION OF NEW YOURK
Other - Org Name:TECHNO ORTHOPEDICS
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SLINGSBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-292-0100
Mailing Address - Street 1:6199 SPENCER TER
Mailing Address - Street 2:GROUND FLOOR
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-1116
Mailing Address - Country:US
Mailing Address - Phone:718-548-5000
Mailing Address - Fax:718-325-1301
Practice Address - Street 1:423 E 138TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10454-3041
Practice Address - Country:US
Practice Address - Phone:718-292-0100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-09
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4853332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01148269Medicaid