Island Rehabilitative Services/Bronx

LBN: Island Rehabilitative Services/Bronx
Island Rehabilitative Services/Bronx is an health care organization with primary practice located at 1780 Grand Concourse , Bronx NY 10457-5500. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Island Rehabilitative Services/Bronx can be contacted via phone (718) 583-1800, or through Licciardi, Dominic via phone (718) 987-5942.

Contact Information

Primary practice address
1780 Grand Concourse Bronx NY 10457-5500
Phone: (718) 583-1800
Fax: (718) 583-4160
Website:
Map and Directions
Authorized official contact:
Name: Licciardi, Dominic
Phone: (718) 987-5942

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X New York

Profile Details

NPI number 1649264839
LBN Legal business name Island Rehabilitative Services/Bronx
DBA Doing business as
Authorized official Licciardi, Dominic
Entity Organization
Organization subpart 1 No
Enumeration date Sep 2nd, 2005
Last updated Jul 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649264839 NPPES
New York MEDICAID 00519755

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