Provider Demographics
NPI:1730248246
Name:NEW YORK REHABILITATION CARE MANAGEMENT , LLC
Entity type:Organization
Organization Name:NEW YORK REHABILITATION CARE MANAGEMENT , LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHAIM
Authorized Official - Middle Name:
Authorized Official - Last Name:SIEGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-626-4800
Mailing Address - Street 1:2613 21ST ST
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11102-3544
Mailing Address - Country:US
Mailing Address - Phone:718-626-4800
Mailing Address - Fax:718-685-7725
Practice Address - Street 1:2613 21ST ST
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11102-3544
Practice Address - Country:US
Practice Address - Phone:718-626-4800
Practice Address - Fax:718-685-7725
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7003405N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02276204Medicaid
NY335838Medicare ID - Type Unspecified