Organization
TERENCE CARDINAL COOKE HEALTH CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNMARIE COVONE (SR VP CFO)
(646) 633-4702
Entity
Organization
Contact information
Practice address
1249 5TH AVENUE, NEW YORK, NY 10029
(646) 633-4702
(646) 633-4701
Mailing address
1249 5TH AVE, NEW YORK, NY 10029-4413
(646) 633-4774
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
7002345N
NY
332BN1400X
Nursing Facility Supplies (DME)
—
NY
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355202
—
NY
05
—
00798123
—
NY
Enumeration date
01/12/2006
Last updated
08/15/2008
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