Organization
BORIS MENDEL
Active
Other names
New Central Manor ALP
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC MENDEL (ASSOCIATE ADMINISTRATOR)
(718) 471-7700
Entity
Organization
Contact information
Practice address
1509 CENTRAL AVE, FAR ROCKAWAY, NY 11691-4001
(718) 471-7700
Mailing address
1509 CENTRAL AVE, FAR ROCKAWAY, NY 11691-4001
(718) 471-7700
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
590-F-148
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01447396
—
NY
Enumeration date
08/22/2007
Last updated
06/17/2008
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