Organization
NIAGARA GERIATRIC CENTER
Active
Other names
Niagara Rehabiliation and Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS SCHOBERT ADM (ADMINISTRATOR)
(716) 282-1207
Entity
Organization
Contact information
Practice address
822 CEDAR AVE, NIAGARA FALLS, NY 14301-1136
(716) 282-1207
(716) 282-4088
Mailing address
822 CEDAR AVE, NIAGARA FALLS, NY 14301-1136
(716) 282-1207
(716) 282-4088
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3102310N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000330000
BLUE CROSS BLUE SHIELD
NY
01
—
00030097501
UNIVERA
NY
05
—
00475030
—
NY
01
—
D6
INDEPENDENT HEALTH
NY
Enumeration date
05/27/2005
Last updated
01/17/2008
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