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NPI Code Detail

MEDICARE: NEW YORK REHAB AND LOWER EXTREMITY SERVICES

MEDICARE: NEW YORK REHAB AND LOWER EXTREMITY SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatristN004639NY

General Provider Information

NPI Number : 1033243464
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW YORK REHAB AND LOWER EXTREMITY SERVICES
Provider Business Mailing Address
First Line : 2802 AVENUE P
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-1810
Country : US
Telephone Number : 718-972-5000
Fax Number : 718-252-5810
Provider Business Practice Location Address
First Line : 2802 AVENUE P
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-1810
Country : US
Telephone Number : 718-972-5000
Fax Number : 718-252-5810
Authorized Official
Title or Position : PRESIDENT
Name : DR. ALAN R. TAJERSTEIN
Credential : D.P.M.
Telephone Number : 718-972-5000
Provider Enumeration Date : 03/15/2007
Last Update Date : 08/22/2020

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Directions to “NEW YORK REHAB AND LOWER EXTREMITY SERVICES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.