MEDICARE: SLR REHABILITATION MEDICINE ASSOCIATES

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	174400000X	Specialist	176106-1	NY

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	:	1932292786
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SLR REHABILITATION MEDICINE ASSOCIATES

Provider Business Mailing Address
First Line	:	1000 TENTH AVNEUE
Second Line	:	SUITE 3B-20
City	:	NEW YORK
State	:	NY
Zip	:	10019
Country	:	US
Telephone Number	:	212-523-6607
Fax Number	:	212-523-8262

Provider Business Practice Location Address
First Line	:	1000 TENTH AVNEUE
Second Line	:	SUITE 3B-20
City	:	NEW YORK
State	:	NY
Zip	:	10019
Country	:	US
Telephone Number	:	212-523-6607
Fax Number	:	212-523-8262

Authorized Official
Title or Position	:	ASSISTANT CHAIRMAN
Name	:	SAL GIRARDI
Credential	:	M.D.
Telephone Number	:	212-523-6598

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	08/22/2020

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