Organization
AMSTERDAM NURSING HOME CORPORATION (1992)
Active
Other names
Amsterdam Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK PANCIRER (VICE PRESIDENT C.F.O.)
(212) 734-6621
Entity
Organization
Contact information
Practice address
1060 AMSTERDAM AVE, NEW YORK, NY 10025-1715
(212) 316-7700
(212) 662-1793
Mailing address
1060 AMSTERDAM AVE, NEW YORK, NY 10025-1715
(212) 316-7700
(212) 662-1793
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00314594
—
NY
01
—
007894
BCBS PROVIDER NUMBER
NY
05
—
01958263
—
NY
01
—
0803121
AETNA HMO PROVIDER NUMBER
NY
01
—
133734710
ELDERPLAN
NY
01
—
335570
HIP PROVIDER NUMBER
NY
01
—
5309499
AETNA PROVIDER NUMBER
NY
05
—
7002356N
—
NY
01
—
7100141
UNITED HEALTH CARE
NY
01
—
A1011800
OXFORD PROVIDER NUMBER
NY
01
—
DTP01958263
SHP MNGD MCAD
NY
05
—
DTP01958263
—
NY
Enumeration date
03/23/2007
Last updated
07/08/2025
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