Island Rehabilitative Services/bronx

NPI #1649264839 in Bronx, New York

Provider Information

NPI Number
1649264839
Entity Type
Organization
Organization Name
Island Rehabilitative Services/bronx
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Sep 2, 2005
Last Updated
Jul 21, 2022

Practice Location

Address
1780 GRAND CONCOURSE
City
Bronx
ZIP Code
10457-5500
Phone
(718) 583-1800

Authorized Official

Name
DOMINIC LICCIARDI
Title
ADMINISTRATOR
Phone
(718) 987-5942

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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