Organization
HYDE PARK NURSING HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAPHAEL YENOWITZ (ADMINISTRATOR)
(845) 889-4500
Entity
Organization
Contact information
Practice address
4975 ALBANY POST ROAD, STAATSBURG, NY 12580
(845) 889-4500
(845) 889-4309
Mailing address
4975 ALBANY POST ROAD, STAATSBURG, NY 12580
(845) 889-4500
(845) 889-4309
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1356302N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00310283
—
NY
Enumeration date
07/19/2006
Last updated
08/17/2016
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