| North Shore Rehabilitation Associates Inc. | |
|
121 Broad Street Lynn MA 01901-1629 | |
| (781) 593-9090 | |
| (780) 593-9093 |
| Full Name | North Shore Rehabilitation Associates Inc. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 121 Broad Street, Lynn, Massachusetts |
| Authorized Official Name and Position | Alex Pyatigorskiy (PRESIDENT) |
| Authorized Official Contact | 7815939093 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Shore Rehabilitation Associates Inc. 121 Broad Street Lynn MA 01901-1629 Ph: (781) 593-9090 | North Shore Rehabilitation Associates Inc. 121 Broad Street Lynn MA 01901-1629 Ph: (781) 593-9090 |
| NPI Number | 1407079759 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 05/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407079759 | NPI | - | NPPES |
| 9751441 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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