Provider Demographics
NPI:1376672147
Name:REHABILITATION MEDICINE PRACTICE OF NEW YORK, PLLC
Entity Type:Organization
Organization Name:REHABILITATION MEDICINE PRACTICE OF NEW YORK, PLLC
Other - Org Name:REHAB. MEDICINE CENTER OF NEW YORK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:D
Authorized Official - Last Name:KRAMBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-619-2610
Mailing Address - Street 1:80 MAIDEN LN
Mailing Address - Street 2:604
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-4811
Mailing Address - Country:US
Mailing Address - Phone:212-619-2610
Mailing Address - Fax:212-619-2617
Practice Address - Street 1:80 MAIDEN LN
Practice Address - Street 2:SUITE 604
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-4811
Practice Address - Country:US
Practice Address - Phone:212-619-2610
Practice Address - Fax:212-619-2617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYA175022-1261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation