Organization
MASSAPEQUA CENTER LLC
Active
Other names
Massapequa Center Rehabilitation and Nursing
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL EDELSTEIN (MANAGER)
(718) 888-5206
Entity
Organization
Contact information
Practice address
101 LOUDEN AVE., AMITYVILLE, NY 11701
(631) 264-0222
Mailing address
101 LOUDEN AVE., AMITYVILLE, NY 11701
(631) 264-0222
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00314181
—
NY
Enumeration date
06/08/2017
Last updated
08/14/2024
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