# THE HEBREW HOME FOR THE AGED AT RIVERDALE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE HEBREW HOME FOR THE AGED AT RIVERDALE
- **Other names:** RiverSpring Outpatient Rehab
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1720443047
- **Legal business name:** THE HEBREW HOME FOR THE AGED AT RIVERDALE
- **Authorized official:** MR. CARL WILLNER (VICE PRESIDENT, FINANCE)
- **Authorized official phone:** (718) 581-1313

## Contact information

- **Practice address:** 5901 PALISADE AVENUE, RIVERDALE, NY 10471
- **Practice address phone:** (718) 581-1313
- **Practice address fax:** (718) 709-4277
- **Mailing address:** 5901 PALISADE AVENUE, RIVERDALE, NY 10471
- **Mailing address phone:** (718) 581-1313
- **Mailing address fax:** (718) 709-4277

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NY | Yes |

## Other

- **Enumeration date:** 12/31/2015
- **Last updated:** 12/31/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00310316 | — | NY |