Organization
MEADOWBROOK OPERATING LLC
Active
Other names
Meadowbrook Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
SHLOMO BOEHM (MEMBER)
(718) 360-8083
Entity
Organization
Contact information
Practice address
154 PROSPECT AVE, PLATTSBURGH, NY 12901-1302
(518) 563-5440
Mailing address
460 BAYVIEW AVE, INWOOD, NY 11096-1702
(718) 360-8083
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02994732
—
NY
Enumeration date
06/19/2025
Last updated
06/19/2025
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