MEDICARE: FEDCAP REHABILITATION SERVICES, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	251S00000X	Community/Behavioral Health Agency
3	253J00000X	Foster Care Agency
4	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1730415399
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FEDCAP REHABILITATION SERVICES, INC.

Provider Business Mailing Address
First Line	:	211 WEST 14TH STREET
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10011
Country	:	US
Telephone Number	:	212-727-4200
Fax Number	:	212-727-4374

Provider Business Practice Location Address
First Line	:	1011 WASHINGTON AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10456-6619
Country	:	US
Telephone Number	:	718-764-5127
Fax Number	:	718-585-4307

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MS. CHRISTINE MCMAHON
Credential	:
Telephone Number	:	212-727-4275

Provider Enumeration Date	:	11/02/2009
Last Update Date	:	02/11/2014

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