Organization
ACTIVE RETIREMENT COMMUNITY
Active
Other names
Jefferson's Ferry Outpatient Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN AMTMANN (CHIEF FINANCIALL OFFICER)
(631) 650-2724
Entity
Organization
Contact information
Practice address
500 MATHER DR, SOUTH SETAUKET, NY 11720-4701
(631) 650-2724
Mailing address
500 MATHER DR, SOUTH SETAUKET, NY 11720-4701
(631) 650-2724
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
5151317N
NY
Other
Enumeration date
05/29/2015
Last updated
11/07/2024
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