Healthcare Provider Details

I. General information

NPI: 1427298991
Provider Name (Legal Business Name): PHYSIATRY AND REHABILITATION SERVICES, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2009
Last Update Date: 02/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1329 LUSITANA ST SUITE 805
HONOLULU HI
96813-2429
US

IV. Provider business mailing address

1380 LUSITANA ST SUITE 608
HONOLULU HI
96813-2449
US

V. Phone/Fax

Practice location:
  • Phone: 808-538-7700
  • Fax: 808-538-7604
Mailing address:
  • Phone: 808-524-5247
  • Fax: 808-521-8185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DENNIS M CROWLEY
Title or Position: AUTHORIZED OFFICIAL
Credential: MD
Phone: 808-538-7700