Organization
MJG NURSING HOME INC.
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
4915 10TH AVE, BROOKLYN, NY 11219-3301
(718) 851-3700
Mailing address
4915 10TH AVE, BROOKLYN, NY 11219-3301
(718) 851-3700
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
014788
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01538614
—
NY
Enumeration date
07/17/2006
Last updated
08/22/2020
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