| Comprehensive Rehabilitation Center,p.c. | |
|
705 Broadway Paterson NJ 07514-1425 | |
| (973) 278-0707 | |
| (973) 278-0709 |
| Full Name | Comprehensive Rehabilitation Center,p.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 705 Broadway, Paterson, New Jersey |
| Authorized Official Name and Position | Linda M. Graves (PRESIDENT) |
| Authorized Official Contact | 9732780707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Rehabilitation Center,p.c. 705 Broadway Paterson NJ 07514-1425 Ph: (973) 278-0707 | Comprehensive Rehabilitation Center,p.c. 705 Broadway Paterson NJ 07514-1425 Ph: (973) 278-0707 |
| NPI Number | 1164517264 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9830156231 |
|---|---|
| Medicare Enrollment ID | O20041217000102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164517264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Linda M Graves |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1528066610 PECOS PAC ID: 0749263853 Enrollment ID: I20040610000310 |
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