Organization
STATEN ISLAND CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATIS WEINSTOCK LNHA (ADMINISTRATOR)
(718) 448-9000
Entity
Organization
Contact information
Practice address
200 LAFAYETTE AVE, STATEN ISLAND, NY 10301-1219
(718) 448-9000
(718) 727-2712
Mailing address
200 LAFAYETTE AVE, STATEN ISLAND, NY 10301-1219
(718) 448-9000
(718) 727-2712
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
02479
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00314690
—
NY
Enumeration date
07/24/2006
Last updated
08/22/2020
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