Advanced Rehabilitation Medicine Pllc
NPI #1063590065 in Port Jefferson, New York
Provider Information
- NPI Number
- 1063590065
- Entity Type
- Organization
- Organization Name
- Advanced Rehabilitation Medicine Pllc
- Primary Specialty
- Physical Medicine & Rehabilitation
- Enumeration Date
- Nov 1, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 200 BELLE TERRE RD
- Address 2
- SUITE E140
- City
- Port Jefferson
- State
- New York
- ZIP Code
- 11777
- Phone
- (631) 474-6879
Authorized Official
- Name
- CAROLYN L FANELLI
- Title
- PRACTICE MANAGER
- Phone
- (631) 474-6049
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation |
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