Organization
SUNRISE MANOR NURSING HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID LANDA (VICE PRESIDENT)
(917) 607-7595
Entity
Organization
Contact information
Practice address
1325 BRENTWOOD RD, BAY SHORE, NY 11706-5704
(631) 665-4960
(631) 665-9411
Mailing address
1325 BRENTWOOD RD, BAY SHORE, NY 11706-5704
(631) 665-4960
(631) 665-9411
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5154321N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00308521
—
NY
Enumeration date
05/23/2006
Last updated
01/24/2012
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