OrganizationCenter For Physical Medicine&Rehabilitation(<Unavail>)SpecialistOther Service ProvidersPractice Address42 Rykowski Ln, Suite1, Middletown, NY 10941-4018(845) 695-2131PECOS EnrollmentBased on the most recent information from CMS, provider Center For Physical Medicine&Rehabilitation does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1992945950Provider TypeOrganizationFull NameCenter For Physical Medicine&RehabilitationOther Name<Unavail>SubpartNoEnumeration Date3/3/2009Last Updated3/3/2009Contact InformationPractice LocationPractice Address42 Rykowski Ln, Suite1, Middletown, NY 10941-4018Phone(845) 695-2131Fax(845) 695-2135Mailing LocationMailing Address42 Rykowski Ln, Suite 1, Middletown, NY 10941-4018Phone(845) 695-2131Fax(845) 695-2135Authorized OfficialNameDunkelman, Neal R (Owner)Phone(845) 695-2131Provider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicense181211New YorkCode225100000XDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense0230141New YorkCode225100000XDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense022623New YorkProvider IdentifiersIDDescriptionIssuerID01735602DescriptionMedicaidIssuerUnlistedNew York