Organization
QUEENS BOULEVARD EXTENDED CARE FACILITY MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH MALONE CPA (CFO)
(718) 205-0287
Entity
Organization
Contact information
Practice address
6111 QUEENS BLVD, WOODSIDE, NY 11377-4965
(718) 205-0287
(718) 803-0694
Mailing address
6111 QUEENS BLVD, WOODSIDE, NY 11377-4965
(718) 205-0287
(718) 803-0694
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
—
314000000X
Skilled Nursing Facility
Primary
700341N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02996110
—
NY
05
—
1710672
—
NY
05
—
7003410N
—
NY
Enumeration date
01/31/2014
Last updated
12/15/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us