Port Jefferson Operating LLC
NPI #1093286585 in Port Jefferson, New York
Provider Information
- NPI Number
- 1093286585
- Entity Type
- Organization
- Organization Name
- Port Jefferson Operating LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 10, 2018
- Last Updated
- Dec 10, 2018
Practice Location
- Address
- 150 DARK HOLLOW RD
- City
- Port Jefferson
- State
- New York
- ZIP Code
- 11777-2048
- Phone
- (631) 473-5400
Authorized Official
- Name
- MARK FRIEDMAN
- Title
- MANAGER / MEMBER
- Phone
- (917) 596-1800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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