Organization
PROS R US
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HELEN MARTENSEN R.N. (PRESIDENT)
(631) 316-2942
Entity
Organization
Contact information
Practice address
2 LA BONNE VIE DR, SUITE E, EAST PATCHOGUE, NY 11772-4275
(631) 316-2942
Mailing address
P.O. BOX 202, PATCHOGUE, NY 11772
(631) 316-2942
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
261QR0400X
Rehabilitation Clinic/Center
445607-01
NY
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
445607-1
NY
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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