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Organization
LONG BEACH MEDICAL CENTER HOME CARE AGENCY
Active
Organization
LONG BEACH MEDICAL CENTER HOME CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY STERN (CHIEF FINANCIAL OFFICER)
(516) 897-1212
Entity
Organization
Contact information
Practice address
455 EAST BAY DRIVE, LONG BEACH, NY 11561
(516) 897-1065
(516) 897-1064
Mailing address
455 EAST BAY DRIVE, LONG BEACH, NY 11561
(516) 897-1065
(516) 897-1064
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000185
BLUE CROSS
—
05
—
00245487
—
NY
Enumeration date
07/26/2006
Last updated
07/21/2022
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