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Organization

UTICA CROSSINGS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL GLASS PAUL GLASS (DIRECTOR OF COMPLIANCE)
(516) 705-4803
Entity
Organization

Contact information

Practice address
1800 BUTTERFIELD AVENUE, UTICA, NY 13501
(315) 797-3570
Mailing address
1800 BUTTERFIELD AVENUE, UTICA, NY 13501
(315) 797-3570

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00312230
NY
Enumeration date
05/15/2007
Last updated
06/25/2015
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