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Organization

ST. JOHNLAND NURSING CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL BARTOLOTTA (CHIEF FINANCIAL OFFICER)
(631) 663-2450
Entity
Organization

Contact information

Practice address
395 SUNKEN MEADOW RD, KINGS PARK, NY 11754-1000
(631) 663-2450
(631) 663-2100
Mailing address
395 SUNKEN MEADOW RD, KINGS PARK, NY 11754-1000
(631) 663-2450
(631) 663-2100

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1518037837
NY
Enumeration date
12/02/2014
Last updated
12/02/2014
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