OrganizationActive
Rehabilitation Medicine and Sports Services, PC
NPI 1073793378 · Rehabilitation Practitioner · Brooklyn, NY
Provider details
- NPI number
- 1073793378
- Entity type
- Organization
- Primary specialty
- Rehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Carol Decosta, President(718) 852-6949
- License
- 183780 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
189 Montague St
Suite 700
Brooklyn, NY 11201-3610
Phone: (718) 852-6949
Fax: (718) 852-7075
Approximate (ZIP-level) locationGet directions
Mailing address
189 Montague St
Brooklyn, NY 11201-3610
Registry dates
- Enumerated
- 2007-11-05
- Last updated
- 2013-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.