MEDICARE: REHABILITATION MANAGEMENT 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
1	332B00000X	Durable Medical Equipment & Medical Supplies	45PO00011300	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144256322
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REHABILITATION MANAGEMENT SERVICES

Provider Business Mailing Address
First Line	:	31 HYLAN BLVD
Second Line	:	APT. 7A
City	:	STATEN ISLAND
State	:	NY
Zip	:	10305-2000
Country	:	US
Telephone Number	:	718-331-8484
Fax Number	:	718-236-2727

Provider Business Practice Location Address
First Line	:	1215 72ND ST
Second Line	:	GROUND FLOOR
City	:	BROOKLYN
State	:	NY
Zip	:	11228-1504
Country	:	US
Telephone Number	:	718-331-8484
Fax Number	:	718-236-2727

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. EUGENE DE MARCO
Credential	:	CPO, BOCOP
Telephone Number	:	718-331-8484

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	08/17/2009

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Directions to “REHABILITATION MANAGEMENT SERVICES ” Practice Location

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