Organization
MONSIGNOR FITZPATRICK SN PAVILION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MELVIN AARON (ADMINISTRATOR)
(718) 558-2870
Entity
Organization
Contact information
Practice address
15211 89TH AVE, JAMAICA, NY 11432-3730
(718) 558-2870
(718) 558-2476
Mailing address
15211 89TH AVE, JAMAICA, NY 11432-3730
(718) 558-2870
(718) 558-2476
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009683
EMPIRE BC & BS
NY
05
—
01044260
—
NY
Enumeration date
09/26/2005
Last updated
07/21/2022
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