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Organization

CHAPIN HOME FOR THE AGING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM B O'HARA C.P.A., J.D. (CFO)
(718) 739-2523
Entity
Organization

Contact information

Practice address
16501 CHAPIN PKWY, JAMAICA, NY 11432-1807
(718) 739-2523
(718) 291-0989
Mailing address
16501 CHAPIN PKWY, JAMAICA, NY 11432-1807
(718) 739-2523
(718) 291-0989

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
7003351
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
362230
NY
Enumeration date
07/27/2005
Last updated
10/06/2014
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