Organization
BETH ABRAHAM HEALTH SERVICES HC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN MANN (CFO)
(718) 519-5937
Entity
Organization
Contact information
Practice address
1815 CORNAGA AVE, FAR ROCKAWAY, NY 11691-4305
(718) 868-8360
Mailing address
1815 CORNAGA AVE, FAR ROCKAWAY, NY 11691-4305
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00890813
—
NY
Enumeration date
07/15/2006
Last updated
12/06/2007
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