Organization
BRIDGEWATER CENTER FOR REHABILITATION & NURSING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK AUGENSTEIN (CFO)
(845) 371-8100
Entity
Organization
Contact information
Practice address
159-163 FRONT STREET, BINGHAMTON, NY 13905-3103
(607) 722-7225
(607) 722-0061
Mailing address
1 HILLCREST CENTER DRIVE, SUITE #325, SPRING VALLEY, NY 10977-3740
(845) 371-8100
(845) 371-0010
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
0301308N
NY
314000000X
Skilled Nursing Facility
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00309664
—
NY
Enumeration date
07/18/2006
Last updated
11/09/2015
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