Organization
37 NORTH CHEMUNG STREET OPERATING COMPANY, LLC
Active
Organization
37 NORTH CHEMUNG STREET OPERATING COMPANY, LLC
Active
Other names
Elderwood at Waverly
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY RUBIN (CO- CHIEF EXECUTIVE OFFICER)
(716) 817-5075
Entity
Organization
Contact information
Practice address
37 N CHEMUNG ST, WAVERLY, NY 14892-1211
(607) 565-2861
Mailing address
500 SENECA ST STE 100, BUFFALO, NY 14204-1963
(716) 633-3900
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03006604
—
NY
Enumeration date
01/07/2016
Last updated
01/19/2023
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