Organization
DUMONT MASONIC HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RON ROSTOW (CFO)
(914) 632-9600
Entity
Organization
Contact information
Practice address
676 PELHAM RD, NEW ROCHELLE, NY 10805-1038
(914) 632-9600
(914) 632-4116
Mailing address
676 PELHAM RD, NEW ROCHELLE, NY 10805-1038
(914) 632-9600
(914) 632-4116
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5904316N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00752158
—
NY
Enumeration date
11/02/2006
Last updated
08/22/2020
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