Organization
KENNEDY PAVILION RH, LLC
Active
Other names
The Pavilion at Queens for Rehabilitation & Nursing
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL EDELSTEIN (MANAGING MEMBER)
(718) 888-5206
Entity
Organization
Contact information
Practice address
3617 PARSONS BLVD, FLUSHING, NY 11354-5931
(718) 888-5200
Mailing address
3617 PARSONS BLVD, FLUSHING, NY 11354-5931
(718) 888-5200
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
7003417N
NY
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1791900
—
NY
Enumeration date
05/04/2016
Last updated
08/14/2024
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