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Organization
ST. JOHNLAND NURSING CENTER, INC.
Active
Organization
ST. JOHNLAND NURSING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY JEAN WEBER LNHA (CEO - ADMINISTRATOR)
(631) 269-5800
Entity
Organization
Contact information
Practice address
395 SUNKEN MEADOW RD, KINGS PARK, NY 11754-1000
(631) 269-5800
(631) 269-5876
Mailing address
395 SUNKEN MEADOW RD, KINGS PARK, NY 11754-1000
(631) 269-5800
(631) 269-5876
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5157311N
NY
Other
Enumeration date
11/08/2006
Last updated
08/22/2020
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