Organization
SUFFOLK CENTER RECEIVER LLC
Active
Other names
Suffolk Center for Rehabilitation and Nursing
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL KONSTAM (ADMINISTRATOR)
(631) 289-7700
Entity
Organization
Contact information
Practice address
25 SCHOENFELD BLVD, PATHCHOGUE, NY 11772
(631) 289-7700
(631) 289-7726
Mailing address
25 SCHOENFELD BLVD, PATCHOGUE, NY 11772
(631) 289-7700
(631) 289-7726
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
5123300N
NY
314000000X
Skilled Nursing Facility
Primary
5123300N
NY
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00309733
—
NY
Enumeration date
12/15/2006
Last updated
12/03/2007
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