Organization
INTEGRA WIP MEMBER LLC
Active
Other names
N/A
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GEFNER (PRESIDENT)
(212) 660-9700
Entity
Organization
Contact information
Practice address
351 SPOOK ROCK RD, SUFFERN, NY 10901-5307
(212) 660-9700
Mailing address
351 SPOOK ROCK RD, SUFFERN, NY 10901-5307
(212) 660-9700
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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