Clove Lakes Rehabilitation And Outpatient Services

LBN: Clove Lakes Rehabilitation And Outpatient Services
Clove Lakes Rehabilitation And Outpatient Services is an health care organization with primary practice located at 25 Fanning St , Staten Island NY 10314-5307. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Clove Lakes Rehabilitation And Outpatient Services can be contacted via phone (718) 289-7878, or through Francis, Mary Beth via phone (718) 289-7034.

Contact Information

Primary practice address
25 Fanning St Staten Island NY 10314-5307
Fax:
Website:
Authorized official contact:
Name: Francis, Mary Beth

Profile Details

NPI number 1659314193
LBN Legal business name Clove Lakes Rehabilitation And Outpatient Services
DBA Doing business as
Authorized official Francis, Mary Beth
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 13th, 2006
Last updated Jul 17th, 2007 - about 17 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 1659314193 NPPES
New York MEDICAID 01876104

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