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Organization
ACTIVE RETIREMENT COMMUNITY
Active
Organization
ACTIVE RETIREMENT COMMUNITY
Active
Other names
Jefferson's Ferry Outpatient Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN AMTMANN (CHIEF FINANCIALL OFFICER)
(631) 650-2724
Entity
Organization
Contact information
Practice address
500 MATHER DR, SOUTH SETAUKET, NY 11720-4701
(631) 650-2724
Mailing address
500 MATHER DR, SOUTH SETAUKET, NY 11720-4701
(631) 650-2724
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
5151317N
NY
Other
Enumeration date
05/29/2015
Last updated
11/07/2024
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