Organization
NORTHERN MANOR MULTICARE CENTER INC
Active
Other names
Northern Manor Geriatric
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT BARDACH (ADMINISTRATOR)
(845) 623-3904
Entity
Organization
Contact information
Practice address
199 N MIDDLETOWN RD, NANUET, NY 10954-1317
(845) 623-3904
(845) 623-8908
Mailing address
199 N MIDDLETOWN RD, NANUET, NY 10954-1317
(845) 623-3904
(845) 623-8908
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4350304N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00309568
—
NY
Enumeration date
11/11/2005
Last updated
04/20/2008
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