Provider Demographics
NPI:1326321902
Name:BRONX REHABILITATION MEDICINE ASSOCIATES PLLC
Entity Type:Organization
Organization Name:BRONX REHABILITATION MEDICINE ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERYL
Authorized Official - Middle Name:R
Authorized Official - Last Name:LEVIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-523-9951
Mailing Address - Street 1:701 FAIRWAY GRN
Mailing Address - Street 2:
Mailing Address - City:MAMARONECK
Mailing Address - State:NY
Mailing Address - Zip Code:10543-4336
Mailing Address - Country:US
Mailing Address - Phone:718-547-8899
Mailing Address - Fax:914-381-6311
Practice Address - Street 1:701 FAIRWAY GRN
Practice Address - Street 2:
Practice Address - City:MAMARONECK
Practice Address - State:NY
Practice Address - Zip Code:10543-4336
Practice Address - Country:US
Practice Address - Phone:718-547-8899
Practice Address - Fax:914-381-6311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-21
Last Update Date:2016-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty