institution
Island Rehabilitative Services Corp
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Staten Island, New York
NPI 1669453502

Island Rehabilitative Services Corp is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Staten Island, NY and is specialized in End-Stage Renal Disease (ESRD) Treatment. Island Rehabilitative Services Corp practices in Staten Island, NY. The NPI Number for Island Rehabilitative Services Corp is 1669453502 and holds a License No. 7004204R (New York).

The current practice location address for Island Rehabilitative Services Corp is 25 Fanning St, Staten Island, NY and can be reached out via phone at 347-671-8399 and via fax at 347-671-8398.

Location: 25 Fanning St, Staten Island, NY, 10306-2364
institution
Provider Profile Details
NPI Number
1669453502
Provider Name
Island Rehabilitative Services Corp
Credential
Provider Entity Type
Organization
Address
25 Fanning St, Staten Island, NY, 10306-2364
Phone Number
347-671-8399
Fax Number
347-671-8398
Provider Enumeration Date
11/08/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
03004235 05 NY
00519755 05 NY
institution
Provider Business Practice Location Address Details
Address
25 Fanning St
City
State
Zip
10314-5307
Phone Number
347-671-8399
Fax Number
347-671-8398
person
Provider Business Mailing Address Details
Address
25 Fanning St
City
State
Zip
10314-5307
Phone Number
347-671-8399
Fax Number
347-671-8398
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
7004204R (New York)
Definition
Definition to come...
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