Organization
PARK TERRACE CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELI LIEBER LNHA (ADMINISTRATOR)
(718) 592-9200
Entity
Organization
Contact information
Practice address
59-20 VAN DOREN ST, REGO PARK, NY 11368
(718) 592-9200
(718) 592-9851
Mailing address
59-20 VAN DOREN ST, REGO PARK, NY 11368
(718) 592-9200
(718) 592-9851
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
7003374N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00311028
—
NY
Enumeration date
11/07/2006
Last updated
12/09/2011
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