Provider Demographics
NPI:1659635563
Name:US TECH REHAB, INC
Entity Type:Organization
Organization Name:US TECH REHAB, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:BELKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-821-0800
Mailing Address - Street 1:5826 SAINT FELIX AVE
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11385-6061
Mailing Address - Country:US
Mailing Address - Phone:718-821-0800
Mailing Address - Fax:718-821-0801
Practice Address - Street 1:5826 SAINT FELIX AVE
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NY
Practice Address - Zip Code:11385-6061
Practice Address - Country:US
Practice Address - Phone:718-821-0800
Practice Address - Fax:718-821-0801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-26
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1419603332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies