Organization
UCP BAYVILLE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL LOWRY (ADMINISTRATOR)
(516) 628-3500
Entity
Organization
Contact information
Practice address
85 BAYVILLE AVE, BAYVILLE, NY 11709-1629
(516) 628-3500
(516) 628-1121
Mailing address
85 BAYVILLE AVE, BAYVILLE, NY 11709-1629
(516) 628-3500
(516) 628-1121
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
8077440
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00832224
—
NY
Enumeration date
07/27/2006
Last updated
08/22/2020
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