Organization
MARCUS GARVEY RESIDENTIAL REHAB PAVILION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARNELL J COY (CFO)
(718) 467-7300
Entity
Organization
Contact information
Practice address
810 SAINT MARKS AVE, BROOKLYN, NY 11213-1420
(718) 467-7300
(718) 467-7878
Mailing address
810 SAINT MARKS AVE, BROOKLYN, NY 11213-1420
(718) 467-7300
(718) 467-7878
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00314627
—
NY
Enumeration date
03/24/2006
Last updated
05/04/2010
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