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Organization

THE PAVILION AT VESTAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JACK AUGENSTEIN (CFO)
(845) 371-8100
Entity
Organization

Contact information

Practice address
105 WEST SHEEDY ROAD, VESTAL, NY 13850-1753
(845) 371-8100
(845) 371-0010
Mailing address
1 HILLCREST CTR, SUITE #325, SPRING VALLEY, NY 10977-3740
(845) 371-8100
(845) 371-0010

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
TO BE DETERMINED
NY

Other

Enumeration date
05/14/2015
Last updated
05/14/2015
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