Organization
MICHAEL MELNICKE
Active
Other names
ROCKAWAY CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL MELNICKE (ADMINISTRATOR)
(718) 471-5000
Entity
Organization
Contact information
Practice address
353 BEACH 48TH ST, FAR ROCKAWAY, NY 11691-1120
(718) 471-5000
Mailing address
353 BEACH 48TH ST, FAR ROCKAWAY, NY 11691-1120
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00309522
—
NY
Enumeration date
10/26/2005
Last updated
06/24/2008
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