Organization
OPEN DOOR NY HOME CARE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BORIS CHERKALIN (CEO)
(917) 589-0283
Entity
Organization
Contact information
Practice address
72 GATEWAY DR, STATEN ISLAND, NY 10304-4439
(917) 589-0283
Mailing address
72 GATEWAY DR, STATEN ISLAND, NY 10304-4439
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2652L001
NY
Other
Enumeration date
05/04/2015
Last updated
02/15/2017
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