Organization
NEW EAST SIDE NURSING HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CORRADO MASTROPIERRO (ADMINISTRATOR)
(212) 673-8500
Entity
Organization
Contact information
Practice address
25 BIALYSTOKER PL, NEW YORK, NY 10002-4008
(212) 673-8500
(646) 602-1684
Mailing address
25 BIALYSTOKER PL, NEW YORK, NY 10002-4008
(212) 673-8500
(646) 602-1684
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00310027
—
NY
Enumeration date
10/18/2005
Last updated
08/22/2020
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