Organization
JEWISH HOME LIFECARE, MANHATTAN
Active
Parent organization
JEWISH HOME LIFECARE, MANHATTAN
Other names
The New Jewish Home, Manhattan - Medical Department
Organization subpart
Yes
Provider details
NPI number
Legal business name
JEWISH HOME LIFECARE, MANHATTAN
Authorized official
DANA PENNY (CHIEF COMPLIANCE OFFICER)
(212) 870-4752
Entity
Organization
Contact information
Practice address
120 W 106TH ST, ATTN MEDICAL DEPT, NEW YORK, NY 10025-3712
(212) 870-4868
Mailing address
120 W 106TH ST, ATTN MEDICAL DEPT, NEW YORK, NY 10025-3712
(212) 870-4868
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
7002340N
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
7002340N
NY
2084P0800X
Psychiatry Physician
7002340N
NY
363L00000X
Nurse Practitioner
7002340N
NY
Other
Enumeration date
11/22/2006
Last updated
03/02/2018
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