Healthcare Provider Details

I. General information

NPI: 1093652968
Provider Name (Legal Business Name): AHAVA MEDICAL AND REHABILITATION CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 SUMNER PL
BROOKLYN NY
11206-4110
US

IV. Provider business mailing address

16 SUMNER PL
BROOKLYN NY
11206-4110
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 Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

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