Organization
PARKSHORE HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN ZELCER (CONTROLLER)
(718) 927-6346
Entity
Organization
Contact information
Practice address
1535 ROCKAWAY PKWY, BROOKLYN, NY 11236-4001
(718) 927-6346
(718) 272-2166
Mailing address
1535 ROCKAWAY PKWY, BROOKLYN, NY 11236-4001
(718) 927-6346
(718) 272-2166
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7001641
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02995779
—
NY
01
—
7001641
STATE OPERATING CERTF. #
NY
Enumeration date
10/12/2016
Last updated
01/12/2018
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