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NPI Code Detail

MEDICARE: COMPREHENSIVE REHABILITATION CONSULTANTS NEW YORK, INC.

MEDICARE: COMPREHENSIVE REHABILITATION CONSULTANTS NEW YORK, INC.
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
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1841413770
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPREHENSIVE REHABILITATION CONSULTANTS NEW YORK, INC.
Provider Business Mailing Address
First Line : 11428 SW 109TH RD
Second Line :
City : MIAMI
State : FL
Zip : 33176-3148
Country : US
Telephone Number : 305-595-8232
Fax Number : 305-598-1073
Provider Business Practice Location Address
First Line : 275 MADISON AVE
Second Line : SIUTE 2400
City : NEW YORK
State : NY
Zip : 10016-1101
Country : US
Telephone Number : 212-370-5544
Fax Number : 212-986-2757
Authorized Official
Title or Position : VICE PRESIDENT
Name : DR. RICHARD SHUSTER
Credential : PH.D
Telephone Number : 212-370-5544
Provider Enumeration Date : 04/10/2007
Last Update Date : 08/22/2020

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Directions to “COMPREHENSIVE REHABILITATION CONSULTANTS NEW YORK, INC. ” Practice Location

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