Organization
GOLD CREST CARE CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK SALAMON (ADMINISTRATOR)
(718) 882-6400
Entity
Organization
Contact information
Practice address
2316 BRUNER AVE, BRONX, NY 10469-6323
(718) 882-6400
Mailing address
2316 BRUNER AVE, BRONX, NY 10469-6323
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
7000376N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00308489
—
NY
Enumeration date
01/15/2007
Last updated
03/05/2012
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