Peninsula General Nursing Home
NPI #1114922689 in Far Rockaway, New York
Provider Information
- NPI Number
- 1114922689
- Entity Type
- Organization
- Organization Name
- Peninsula General Nursing Home
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jun 20, 2005
- Last Updated
- Sep 5, 2014
Practice Location
- Address
- 50-15 BEACH CHANNEL DRIVE
- City
- Far Rockaway
- State
- New York
- ZIP Code
- 11691
- Phone
- (718) 734-2000
Authorized Official
- Name
- MR. ALEXANDER SKUTZKA
- Title
- ADMINISTRATOR
- Phone
- (718) 734-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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