Organization
LEROY MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL ZYSKIND (MANAGING MEMBER)
(914) 261-5129
Entity
Organization
Contact information
Practice address
8678 LAKE STREET ROAD, LEROY, NY 14482
(585) 768-6291
Mailing address
8678 LAKE STREET RD, LE ROY, NY 14482-9357
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
290-F-005
NY
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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