Organization
PARK AVENUE OPERATING COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY GOLDSTEIN (OFFICER)
(516) 869-3700
Entity
Organization
Contact information
Practice address
425 NATIONAL BLVD, LONG BEACH, NY 11561-2031
(516) 431-2600
Mailing address
425 NATIONAL BLVD, LONG BEACH, NY 11561-2031
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2902306N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02001229
—
NY
Enumeration date
03/13/2007
Last updated
11/21/2014
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