Healthcare Provider Details

I. General information

NPI: 1235127374
Provider Name (Legal Business Name): CENTER FOR REHABILITATION AND HEALTHCARE AT DUTCHESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2005
Last Update Date: 08/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 RESERVOIR RD
PAWLING NY
12564-1715
US

IV. Provider business mailing address

1720 WHITESTONE EXPY STE 500
WHITESTONE NY
11357-3021
US

V. Phone/Fax

Practice location:
  • Phone: 845-855-5700
  • Fax: 845-855-1143
Mailing address:
  • Phone: 718-215-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. JEREMY STRAUSS
Title or Position: MANAGING MEMBER
Credential:
Phone: 718-215-6000