Organization
YGC AT WOODYCREST LLC
Active
Other names
Highbridge Woodycrest Center
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARDO VICENTE (ADMINISTRATOR)
(646) 725-1383
Entity
Organization
Contact information
Practice address
936 WOODYCREST AVE, BRONX, NY 10452-5503
(718) 579-8230
Mailing address
936 WOODYCREST AVE, BRONX, NY 10452-5503
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NY
Other
Enumeration date
08/16/2017
Last updated
12/26/2017
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