Organization
STONEHEDGE AQUISITION CHITTENANGO I, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH ZUPNICK (MANAGING PARTNER)
(845) 357-7666
Entity
Organization
Contact information
Practice address
331 RUSSELL ST, CHITTENANGO, NY 13037-1201
(315) 687-7255
(315) 687-9169
Mailing address
386 RT 59, SUITE 409, MONSEY, NY 10952
(845) 357-7666
(845) 357-0727
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2629302N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00356354
—
NY
Enumeration date
10/07/2005
Last updated
08/06/2007
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