Organization
CARDIFF BAY CENTER LLC
Active
Other names
Peninsula Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY DEROSA (VP OF FINANCE)
(516) 422-7817
Entity
Organization
Contact information
Practice address
5015 BEACH CHANNEL DR, FAR ROCKAWAY, NY 11691-1110
(718) 734-2000
Mailing address
5015 BEACH CHANNEL DR, FAR ROCKAWAY, NY 11691-1110
(718) 734-2000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00332834
—
NY
Enumeration date
04/14/2014
Last updated
06/19/2023
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