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Organization

SUFFOLK RESTORATIVE THERAPY & NURSING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA POLIMENI (DIRECTOR OF BILLING)
(516) 671-4100
Entity
Organization

Contact information

Practice address
340 EAST MONTAUK HIGHWAY, EAST ISLIP, NY 11730
(516) 671-4100
Mailing address
340 EAST MONTAUK HIGHWAY, EAST ISLIP, NY 11730
(516) 671-4100

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00311188
NY
Enumeration date
11/11/2010
Last updated
11/17/2010
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