Organization
PROSPECT PARK OPERATING, LLC
Active
Other names
Brooklyn Center for Rehabilitation and Residential Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH ROZENBERG (MANAGING MEMBER)
(917) 468-4174
Entity
Organization
Contact information
Practice address
170 BUFFALO AVE, BROOKLYN, NY 11213-2421
(718) 252-9800
Mailing address
4770 WHITE PLAINS RD, BRONX, NY 10470-1104
(718) 931-9700
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
7001388N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00312547
—
NY
Enumeration date
11/21/2006
Last updated
08/21/2020
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