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Organization

MENORAH HOME AND HOSPITAL FOR AGED AND INFIRM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALEXANDER BALKO (SR. VP AND CFO)
(718) 921-7221
Entity
Organization

Contact information

Practice address
871 BUSHWICK AVE, BROOKLYN, NY 11221-3739
(718) 646-4441
Mailing address
871 BUSHWICK AVE, BROOKLYN, NY 11221-3739
(718) 646-4441

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
7001302N
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00311220
NY
Enumeration date
11/18/2008
Last updated
11/18/2008
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