Organization
TRUSTEES OF THE MASONIC HALL AND ASYLUM FUND
Active
Other names
Masonic Care Community of New York
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT RAFFLE (CEO, EXECUTIVE DIRECTOR)
(315) 798-4833
Entity
Organization
Contact information
Practice address
2150 BLEECKER ST, UTICA, NY 13501-1788
(315) 798-4800
(315) 798-4928
Mailing address
2150 BLEECKER ST, UTICA, NY 13501-1788
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3202308N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00312267
—
NY
Enumeration date
04/17/2006
Last updated
08/08/2025
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