Provider Demographics
NPI:1902965858
Name:THE MOUNT SINAI REHABILITATION CENTER
Entity Type:Organization
Organization Name:THE MOUNT SINAI REHABILITATION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RECREATION THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:MARISSA
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:CAPULLO
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:212-241-9188
Mailing Address - Street 1:1450 MADISON AVE # 1674
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6508
Mailing Address - Country:US
Mailing Address - Phone:212-241-9188
Mailing Address - Fax:
Practice Address - Street 1:205 E 95TH ST APT 30B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-4075
Practice Address - Country:US
Practice Address - Phone:518-225-1501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital