Organization
SHOREFRONT JEWISH GERIATRIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXANDER BALKO (SENIOR VICE PRESIDENT AND CFO)
(718) 491-7221
Entity
Organization
Contact information
Practice address
3015 W 29TH ST, BROOKLYN, NY 11224-1901
(718) 266-5700
Mailing address
3015 W 29TH ST, BROOKLYN, NY 11224-1901
(718) 266-5700
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
7001376N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00309279
—
NY
Enumeration date
06/30/2006
Last updated
02/19/2008
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