Organization
SOUTH SHORE REHABILITATION, LLC
Active
Other names
South Shore Rehabilitation and Nursing Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SOLOMON ABRAMCZYK (OWNER)
(718) 697-7523
Entity
Organization
Contact information
Practice address
275 W MERRICK RD, FREEPORT, NY 11520-3346
(516) 623-4000
(516) 379-8440
Mailing address
275 W MERRICK RD, FREEPORT, NY 11520-3346
(516) 623-4000
(516) 379-8440
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2904300N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003090086
—
NY
01
—
2904300N
OPERATING CERTIFICATE #
NY
Enumeration date
08/15/2005
Last updated
02/04/2015
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