Organization
GOOD SAMARITAN LUTHERAN HEALTH CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFI LEHMANN (ADMINISTRATOR)
(518) 439-8116
Entity
Organization
Contact information
Practice address
125 ROCKEFELLER RD, DELMAR, NY 12054-2221
(518) 439-8116
Mailing address
4770 WHITE PLAINS RD, BRONX, NY 10470-1104
(718) 931-9700
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
141777540
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00308567
—
NY
Enumeration date
10/24/2005
Last updated
11/10/2020
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