Organization
PORT CHESTER OPERATING LLC
Active
Other names
PORT CHESTER NURSING & REHAB CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MARK FRIEDMAN (OWNER)
(201) 731-1700
Entity
Organization
Contact information
Practice address
1000 HIGH ST, PORT CHESTER, NY 10573-4402
(201) 731-1700
Mailing address
1000 HIGH ST, PORT CHESTER, NY 10573-4402
(201) 731-1700
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5906304N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
335312
MRE PROVIDER #
NY
Enumeration date
07/14/2016
Last updated
03/31/2017
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