Organization
WOODBURY CENTER FOR HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDERICK E. WHITE (ADMINISTRATOR)
(516) 692-4100
Entity
Organization
Contact information
Practice address
8533 JERICHO TPKE, WOODBURY, NY 11797-1804
(516) 692-4100
(516) 692-7571
Mailing address
8533 JERICHO TPKE, WOODBURY, NY 11797-1804
(516) 692-4100
(516) 692-7571
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2952303N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00308347
—
NY
Enumeration date
10/05/2005
Last updated
02/18/2010
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