Organization
KATHRYN DEMARCO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE HORLER (BILLING)
(845) 354-4500
Entity
Organization
Contact information
Practice address
99 WASHINGTON AVE, SUFFERN, NY 10901-6026
(845) 357-4500
(845) 357-5039
Mailing address
99 WASHINGTON AVE, SUFFERN, NY 10901-6026
(845) 357-4500
(845) 357-5039
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
549774
NY
3140N1450X
Pediatric Skilled Nursing Facility
673177
NY
Other
Enumeration date
12/05/2013
Last updated
12/05/2013
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