Organization
PREMIUM CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL MANDELBAUM CPA (CEP)
(718) 570-6018
Entity
Organization
Contact information
Practice address
13606 76TH RD, FLUSHING, NY 11367-2822
(718) 570-6018
Mailing address
136-06 76TH ROAD, FLUSHING, NY 11367
(718) 570-6018
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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