Provider Demographics
NPI:1891141750
Name:RYE BROOK PHYSICAL MEDICINE AND REHABILITATION, P.C.
Entity type:Organization
Organization Name:RYE BROOK PHYSICAL MEDICINE AND REHABILITATION, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SACCHETTI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:914-481-5900
Mailing Address - Street 1:879 COMMERCE ST
Mailing Address - Street 2:
Mailing Address - City:THORNWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:10594-1415
Mailing Address - Country:US
Mailing Address - Phone:914-481-5900
Mailing Address - Fax:914-481-5902
Practice Address - Street 1:879 COMMERCE ST
Practice Address - Street 2:
Practice Address - City:THORNWOOD
Practice Address - State:NY
Practice Address - Zip Code:10594-1415
Practice Address - Country:US
Practice Address - Phone:914-481-5900
Practice Address - Fax:914-481-5902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-10
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY198383208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty