Organization
MARINA HOMECARE AGENCY OF NY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELENE KORBIN J.D., L.LM., CSA (PRESIDENT)
(631) 369-6080
Entity
Organization
Contact information
Practice address
31 MAIN RD, SUITE 9, RIVERHEAD, NY 11901-1953
(631) 369-6080
Mailing address
31 MAIN RD, SUITE 9, RIVERHEAD, NY 11901-1953
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1928L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1928L001
LHCSA
NY
Enumeration date
05/05/2015
Last updated
05/05/2015
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