Active Life Health of Garden City Medical Pllc
NPI #1902451107 in Garden City, New York
Provider Information
- NPI Number
- 1902451107
- Entity Type
- Organization
- Organization Name
- Active Life Health of Garden City Medical Pllc
- Primary Specialty
- Physical Medicine & Rehabilitation
- Enumeration Date
- Aug 5, 2019
- Last Updated
- Aug 7, 2019
Practice Location
- Address
- 623 STEWART AVE
- City
- Garden City
- State
- New York
- ZIP Code
- 11530-4771
- Phone
- (516) 331-2082
Authorized Official
- Name
- DR. JOHN J RUSH
- Title
- OWNER
- Phone
- (301) 928-1697
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation |
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