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Organization

CHITTENANGO CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEREMY STRUASS (CEO)
(718) 215-6000
Entity
Organization

Contact information

Practice address
331 RUSSELL ST, CHITTENANGO, NY 13037-1201
(315) 687-7255
Mailing address
1720 WHITESTONE EXPY, WHITESTONE, NY 11357-3065
(718) 215-6000

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00356354
NY
Enumeration date
03/18/2010
Last updated
10/13/2016
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