Organization
BRIDGEVIEW NURSING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN WEISS (BUSINESS OFFICE MANAGER)
(718) 961-1212
Entity
Organization
Contact information
Practice address
143-10 20TH AVE, WHITESTONE, NY 11357
(718) 961-1212
(718) 461-7543
Mailing address
143-10 20TH AVE, WHITESTONE, NY 11357
(718) 961-1212
(718) 461-7543
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
7003309N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00308778
—
NY
Enumeration date
10/19/2005
Last updated
08/22/2020
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