Organization
CITY OF NEW YORK, DOHMH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LIZYAMMA VARGHESE SR. (NURSE)
(718) 919-9698
Entity
Organization
Contact information
Practice address
515 N 7TH ST, NEW HYDE PARK, NY 11040-3028
(917) 348-2311
Mailing address
515 N 7TH ST, NEW HYDE PARK, NY 11040-3028
(917) 348-2311
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
460997
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0989701
DOHMH
NY
Enumeration date
03/24/2015
Last updated
03/24/2015
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