Organization
ISABELLA GERIATRIC CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID WAGNER (PRESIDENT & CEO)
(718) 491-7209
Entity
Organization
Contact information
Practice address
515 AUDUBON AVE, FINANCE, NEW YORK, NY 10040-3403
(212) 342-9309
(212) 781-6303
Mailing address
515 AUDUBON AVE, FINANCE, NEW YORK, NY 10040-3403
(212) 342-9309
(212) 781-6303
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
7002352N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00309875
—
NY
Enumeration date
07/12/2006
Last updated
03/16/2022
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