Organization
SUNNYSIDE CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN GEWIRTZ (MANAGER, FISCAL OVERSIGHT)
(914) 588-8379
Entity
Organization
Contact information
Practice address
7000 COLLAMER RD, EAST SYRACUSE, NY 13507
(315) 656-7218
(315) 656-7394
Mailing address
7000 COLLAMER RD, EAST SYRACUSE, NY 13507
(315) 656-7218
(315) 656-7394
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3321300N
NY
314000000X
Skilled Nursing Facility
3321301N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00474488
—
NY
Enumeration date
07/19/2005
Last updated
06/22/2015
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