MEDICARE: CENTER FOR NURSING AND REHABILITATION

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	261QA0600X	Adult Day Care Clinic/Center

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	:	1184710592
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR NURSING AND REHABILITATION

Provider Business Mailing Address
First Line	:	520 PROSPECT PL
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11238-4205
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	520 PROSPECT PL
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11238-4205
Country	:	US
Telephone Number	:	718-636-1000
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	STEVEN MANN
Credential	:
Telephone Number	:	71851595937

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	10/15/2007

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