Provider Demographics
NPI:1528883147
Name:SKILLED CARE PT OT SERVICES
Entity type:Organization
Organization Name:SKILLED CARE PT OT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHAVIVA
Authorized Official - Middle Name:
Authorized Official - Last Name:SARF
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:845-596-1719
Mailing Address - Street 1:482 UNIONDALE AVE
Mailing Address - Street 2:
Mailing Address - City:UNIONDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11553-2201
Mailing Address - Country:US
Mailing Address - Phone:845-596-1719
Mailing Address - Fax:
Practice Address - Street 1:482 UNIONDALE AVE
Practice Address - Street 2:
Practice Address - City:UNIONDALE
Practice Address - State:NY
Practice Address - Zip Code:11553-2201
Practice Address - Country:US
Practice Address - Phone:845-596-1719
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-19
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation