Organization
COUNTY OF SUFFOLK
Active
Other names
JOHN J. FOLEY SKILLED NURSING FACILITY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN T DIGILIO JR. (EXECUTIVE DIRECTOR)
(631) 852-4404
Entity
Organization
Contact information
Practice address
14 GLOVER DR, YAPHANK, NY 11980-1204
(631) 852-4400
(631) 852-4475
Mailing address
14 GLOVER DR, YAPHANK, NY 11980-1204
(631) 852-4400
(631) 852-4475
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5151304N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00310994
—
NY
05
—
01935322
—
NY
01
—
W79281
MEDICARE FEE FOR SERVICE
—
Enumeration date
06/11/2006
Last updated
12/20/2007
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