MEDICARE: COLER REHABILITATION AND NURSING CARE CENTER

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1467343178
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLER REHABILITATION AND NURSING CARE CENTER

Provider Business Mailing Address
First Line	:	900 MAIN ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10044-0066
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	900 MAIN ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10044-0066
Country	:	US
Telephone Number	:	212-848-6000
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	HYESUNG KIM
Credential	:	MD
Telephone Number	:	212-848-6000

Provider Enumeration Date	:	07/10/2025
Last Update Date	:	07/10/2025

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