Provider Demographics
NPI:1477780435
Name:REHAB CARE PROFESSIONALS
Entity Type:Organization
Organization Name:REHAB CARE PROFESSIONALS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:STOSSEL
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:718-972-6561
Mailing Address - Street 1:415 BEVERLEY RD
Mailing Address - Street 2:UNIT LT
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-3153
Mailing Address - Country:US
Mailing Address - Phone:718-972-6561
Mailing Address - Fax:718-633-6351
Practice Address - Street 1:415 BEVERLEY RD
Practice Address - Street 2:SUITE LT
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-3153
Practice Address - Country:US
Practice Address - Phone:718-972-6561
Practice Address - Fax:718-633-6351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-17
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY45800252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency