OrganizationActive
Rehabilitation
NPI 1508929274 · Physical Disabilities Residential Treatment Facility · New York, NY
Provider details
- NPI number
- 1508929274
- Entity type
- Organization
- Primary specialty
- Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Marina Mattei, Occupational Therapist Assistant
- License
- 003295-1 (NY)
Practice location
210 E 102nd St
#13h
New York, NY 10029-5937
Phone: (212) 876-0659
Fax: (212) 876-0659
Mailing address
210 E 102nd St
New York, NY 10029-5937
Registry dates
- Enumerated
- 2006-12-17
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.