170 West Avenue Operating Company, LLC

NPI #1245784271 in Brockport, New York

Provider Information

NPI Number
1245784271
Entity Type
Organization
Organization Name
170 West Avenue Operating Company, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Aug 8, 2016
Last Updated
Jan 19, 2023

Practice Location

Address
170 WEST AVE
ZIP Code
14420-1227
Phone
(585) 395-6052

Authorized Official

Name
DR. JEFFREY RUBIN
Title
CO- CHIEF EXECUTIVE OFFICER
Phone
(716) 817-5075

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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