Self Employed
NPI #1033582291 in Mastic Beach, New York
Provider Information
- NPI Number
- 1033582291
- Entity Type
- Organization
- Organization Name
- Self Employed
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 9, 2015
- Last Updated
- Nov 9, 2015
Practice Location
- Address
- 74 MILL DR
- City
- Mastic Beach
- State
- New York
- ZIP Code
- 11951-1403
- Phone
- (631) 599-8372
Authorized Official
- Name
- MS. KAITLYN SYMANCYK
- Title
- REGISTERED NURSE
- Phone
- (631) 235-8057
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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