Organization
MARIA REGINA RESIDENCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILANA AVINARI (CFO)
(845) 447-1542
Entity
Organization
Contact information
Practice address
1725 BRENTWOOD RD, BLDG 1, BRENTWOOD, NY 11717-5543
(631) 299-3000
(631) 299-3274
Mailing address
1725 BRENTWOOD RD, BLDG 1, BRENTWOOD, NY 11717-5543
(845) 447-1542
(845) 447-1544
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
314000000X
Skilled Nursing Facility
5154321N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02277085
—
NY
05
—
02496748
—
NY
Enumeration date
07/01/2005
Last updated
09/17/2024
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