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NPI Code Detail

MEDICARE: FUNCTIONAL REHABILITATION MEDICINE PC

MEDICARE: FUNCTIONAL REHABILITATION MEDICINE PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician197575NY

General Provider Information

NPI Number : 1447483482
Entity Type Code : Organization
Provider Name (Legal Business Name) : FUNCTIONAL REHABILITATION MEDICINE PC
Provider Business Mailing Address
First Line : 1496 CEDAR ROW
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-1514
Country : US
Telephone Number : 908-910-8801
Fax Number : 888-241-5730
Provider Business Practice Location Address
First Line : 856 46TH ST
Second Line : C/O THERAPY IN MOTION
City : BROOKLYN
State : NY
Zip : 11220-1656
Country : US
Telephone Number : 908-910-8801
Fax Number : 888-241-5730
Authorized Official
Title or Position : PRESIDENT
Name : DR. ALAN FRIEDMAN
Credential : M.D.
Telephone Number : 908-910-8801
Provider Enumeration Date : 08/25/2009
Last Update Date : 08/25/2009

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Directions to “FUNCTIONAL REHABILITATION MEDICINE PC ” Practice Location

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