Organization
GOLDEN GATE REHABILITATION & HEALTH CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA LORENZO (ADMINISTRATIVE ASSISTANT)
(718) 698-8800
Entity
Organization
Contact information
Practice address
191 BRADLEY AVE, STATEN ISLAND, NY 10314-5166
(718) 698-8800
(718) 494-4472
Mailing address
191 BRADLEY AVE, STATEN ISLAND, NY 10314-5166
(718) 698-8800
(718) 494-4472
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
7004315N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00312336
—
NY
Enumeration date
09/30/2005
Last updated
06/17/2016
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