Organization
MICHAEL N. MALOTZ SKILLED NURSING PAVILION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHERWIN CHUE (CONTROLLER)
(914) 964-3333
Entity
Organization
Contact information
Practice address
120 ODELL AVE, YONKERS, NY 10701-1408
(914) 964-3333
(914) 964-4726
Mailing address
120 ODELL AVE, YONKERS, NY 10701-1301
(914) 964-3333
(914) 964-4726
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5907316N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02171933
—
NY
01
—
023855
EMPIRE BLUE CROSS BLUE SH
NY
Enumeration date
10/12/2006
Last updated
08/22/2020
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