Provider Demographics
NPI:1508927377
Name:ENGLEWOOD CLIFFS REHABILITATIVE SERVICES INC.
Entity Type:Organization
Organization Name:ENGLEWOOD CLIFFS REHABILITATIVE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:GARBER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:201-816-8925
Mailing Address - Street 1:661 E PALISADE AVE
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD CLIFFS
Mailing Address - State:NJ
Mailing Address - Zip Code:07632-1800
Mailing Address - Country:US
Mailing Address - Phone:201-816-8925
Mailing Address - Fax:201-816-8926
Practice Address - Street 1:661 E PALISADE AVE
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD CLIFFS
Practice Address - State:NJ
Practice Address - Zip Code:07632-1800
Practice Address - Country:US
Practice Address - Phone:201-816-8925
Practice Address - Fax:201-816-8926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ105066Medicare ID - Type Unspecified