Organization
PELHAM PARKWAY NURSING CARE & REHABILITATION FACILITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OTTO WEINGARTEN (OWNER)
(718) 798-8600
Entity
Organization
Contact information
Practice address
2401 LACONIA AVE, BRONX, NY 10469-1406
(718) 798-8600
(718) 654-1057
Mailing address
2401 LACONIA AVE, BRONX, NY 10469-1406
(718) 798-8600
(718) 654-1057
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00309673
—
NY
Enumeration date
11/07/2005
Last updated
08/18/2008
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