Ivyrehab Network INC
Physical Medicine & Rehabilitation in Fair Lawn, NJ. Organization (NPI-2).
NPI number1992364236
StatusActive
Last updated in NPPESAug 12, 2022
Details
- NPI
- 1992364236
- Entity type
- Organization (NPI-2)
- Legal business name
- Ivyrehab Network INC
- Organization subpart
- No
- Enumeration date
- Jun 11, 2019
- Certification date
- Aug 12, 2022
- Last updated
- Aug 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | – | – | Yes |
Practice location
28-12 BroadwayFair Lawn, NJ 07410-3924
Phone 201-475-8482 · Fax 201-475-8139
Mailing address
1311 Mamaroneck Ave Ste 140White Plains, NY 10605-5224
Phone 914-294-4050
Authorized official
Michael Rucker
Ceo
9147778700
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All 11 Physical Medicine & Rehabilitation Physician providers in Fair Lawn · All 1,467 providers in Fair Lawn
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