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Organization
GOLDEN AGE ADULT SERVICES. CRP
Active
Organization
GOLDEN AGE ADULT SERVICES. CRP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS GALINA MARKOVICH NP (NURSE PRACTITIONER)
(646) 306-7040
Entity
Organization
Contact information
Practice address
21 CANDLE LN, EAST BRUNSWICK, NJ 08816
(646) 306-7040
Mailing address
21 CANDLE LN, EAST BRUNSWICK, NJ 08816
(646) 306-7040
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
476435-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F304085
CERTIFICATE
NY
Enumeration date
04/20/2010
Last updated
04/20/2010
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