NPI 1336446178

Nickjax,llc

Organisation Rehabilitation Practitioner New York, NY

Practice location

Address: 115 E 82nd St Suite 1b, New York, NY 10028-0831
Phone: (212) 738-9264

Authorised official

Name: Richard Mancuso
Title: Executive Director
Phone: (212) 738-9264

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X

Other Rehabilitation Practitioner providers in New York →

Registry record

NPI: 1336446178
Entity type: Organization
NPI issued: 14 Feb 2011
Record last updated: 14 Feb 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.