Organization
EXCEL AT WOODBURY FOR REHABILITATION AND NURSING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCY MOSCHETTA (ACCOUNTS RECEIVABLE BOOKKEEPER)
(718) 939-7500
Entity
Organization
Contact information
Practice address
8533 JERICHO TPKE, WOODBURY, NY 11797-1804
(718) 939-7500
(718) 559-4920
Mailing address
8533 JERICHO TPKE, WOODBURY, NY 11797-1804
(718) 939-7500
(718) 559-4920
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
05/16/2013
Last updated
05/16/2013
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