Provider Demographics
NPI:1144256322
Name:REHABILITATION MANAGEMENT SERVICES
Entity type:Organization
Organization Name:REHABILITATION MANAGEMENT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:
Authorized Official - Last Name:DE MARCO
Authorized Official - Suffix:
Authorized Official - Credentials:CPO, BOCOP
Authorized Official - Phone:718-331-8484
Mailing Address - Street 1:31 HYLAN BLVD
Mailing Address - Street 2:APT. 7A
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305-2000
Mailing Address - Country:US
Mailing Address - Phone:718-331-8484
Mailing Address - Fax:718-236-2727
Practice Address - Street 1:1215 72ND ST
Practice Address - Street 2:GROUND FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11228-1504
Practice Address - Country:US
Practice Address - Phone:718-331-8484
Practice Address - Fax:718-236-2727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-23
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ45PO00011300332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01566256Medicaid
NY0835780001Medicare NSC