Organization
FULTON COMMONS CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOSHE KALTER (PRESIDENT)
(718) 961-1212
Entity
Organization
Contact information
Practice address
60 MERRICK AVE, EAST MEADOW, NY 11554-1578
(516) 222-9300
(516) 222-9333
Mailing address
14310 20TH AVE, WHITESTONE, NY 11357-3046
(718) 961-1212
(718) 939-5467
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2950317N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02204108
—
NY
Enumeration date
10/31/2005
Last updated
08/22/2020
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