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Organization

NEW SURFSIDE NURSING HOME LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH DUNN (CONTROLLER)
(718) 471-3400
Entity
Organization

Contact information

Practice address
2241 NEW HAVEN AVE, FAR ROCKAWAY, NY 11691-2538
(718) 471-3400
(718) 471-2802
Mailing address
2241 NEW HAVEN AVE, FAR ROCKAWAY, NY 11691-2538
(718) 471-3400
(718) 471-2802

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
7003373N
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00309724
NY
Enumeration date
06/28/2005
Last updated
03/25/2008
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