Organization
SAN SIMEON BY THE SOUND CENTER FOR NURSING AND REHABILITATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN SMYTH (ADMINISTRATOR)
(631) 477-2110
Entity
Organization
Contact information
Practice address
61700 ROUTE 48, GREENPORT, NY 11944-2206
(631) 477-2110
Mailing address
61700 ROUTE 48, GREENPORT, NY 11944-2206
(631) 477-2110
(631) 477-3987
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5127300N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00396589
—
NY
Enumeration date
07/27/2005
Last updated
05/18/2015
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