Island Rehabilitative Services Corp.

LBN: Island Rehabilitative Services Corp.
Island Rehabilitative Services Corp. is an health care organization with primary practice located at 470 Seaview Ave , Staten Island NY 10305-3401. 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 Corp. can be contacted via phone (718) 987-5942, or through Licciardi, Dominic via phone (718) 987-5942.

Contact Information

Primary practice address
470 Seaview Ave Staten Island NY 10305-3401
Phone: (718) 987-5942
Fax: (718) 667-9708
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 1235130840
LBN Legal business name Island Rehabilitative Services Corp.
DBA Doing business as
Authorized official Licciardi, Dominic
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 4th, 2005
Last updated Jul 21st, 2022 - about 2 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 1235130840 NPPES
New York MEDICAID 00519755

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