Organization
NASSAU HEALTHCARE CORPORATION
Active
Parent organization
NASSAU HEALTHCARE CORPORATION
Other names
A. Holly Faculty Practice Plan
Organization subpart
Yes
Provider details
NPI number
Legal business name
NASSAU HEALTHCARE CORPORATION
Authorized official
BELINDA KAVANAGH-LANTIMO (CREDENTIALING ENROLLMENT MANAGER)
(516) 572-5135
Entity
Organization
Contact information
Practice address
875 JERUSALEM AVE, UNIONDALE, NY 11553
(516) 572-1400
(516) 296-7376
Mailing address
2201 HEMPSTEAD TURNPIKE, EAST MEADOW, NY 11554
(516) 296-7450
(516) 296-7376
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2950303N
NY
Other
Enumeration date
05/09/2018
Last updated
11/27/2023
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