Advanced Rehabilitation Medicine Pllc

LBN: Advanced Rehabilitation Medicine Pllc
Advanced Rehabilitation Medicine Pllc is an health care organization with primary practice located at 200 Belle Terre Rd Suite E140, Port Jefferson NY 11777. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as the primary health care specialty. Advanced Rehabilitation Medicine Pllc can be contacted via phone (631) 474-6879, or through Fanelli, Carolyn L via phone (631) 474-6049.

Contact Information

Primary practice address
200 Belle Terre Rd Suite E140 Port Jefferson NY 11777
Phone: (631) 474-6879
Fax: (631) 474-6448
Website:
Map and Directions
Authorized official contact:
Name: Fanelli, Carolyn L
Phone: (631) 474-6049

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X

Profile Details

NPI number 1063590065
LBN Legal business name Advanced Rehabilitation Medicine Pllc
DBA Doing business as
Authorized official Fanelli, Carolyn L
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Aug 22nd, 2020 - 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 1063590065 NPPES
New York MEDICAID 02289747

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