Healthcare Provider Details

I. General information

NPI: 1871542704
Provider Name (Legal Business Name): FRANKLIN MEDICAL REHAB INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2006
Last Update Date: 04/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 FRANKLIN AVE
FRANKLIN SQUARE NY
11010-1105
US

IV. Provider business mailing address

605 FRANKLIN AVE
FRANKLIN SQUARE NY
11010-1105
US

V. Phone/Fax

Practice location:
  • Phone: 516-775-4404
  • Fax: 516-775-4928
Mailing address:
  • Phone: 516-775-4404
  • Fax: 516-775-4928

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number2950207R
License Number StateNY

VIII. Authorized Official

Name: DR. JACK J CAMARDA
Title or Position: OWNER/OPERATOR
Credential: DC
Phone: 516-775-4404