Healthcare Provider Details

I. General information

NPI: 1184878274
Provider Name (Legal Business Name): AHAVA MEDICAL AND REHABILITATION CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2008
Last Update Date: 01/23/2024
Certification Date: 01/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2555 NOSTRAND AVE
BROOKLYN NY
11210-4730
US

IV. Provider business mailing address

2555 NOSTRAND AVE
BROOKLYN NY
11210-4730
US

V. Phone/Fax

Practice location:
  • Phone: 718-951-8800
  • Fax: 718-951-0846
Mailing address:
  • Phone: 718-951-8800
  • Fax: 718-951-0846

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name: GEORGE LEBOVITS
Title or Position: OWNER
Credential:
Phone: 718-951-8800