St. Johnland Nursing Center, Inc.
NPI #1336219658 in Kings Park, New York
Provider Information
- NPI Number
- 1336219658
- Entity Type
- Organization
- Organization Name
- St. Johnland Nursing Center, Inc.
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Nov 8, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 395 SUNKEN MEADOW RD
- City
- Kings Park
- State
- New York
- ZIP Code
- 11754-1000
- Phone
- (631) 269-5800
Authorized Official
- Name
- MRS. MARY JEAN WEBER, LNHA
- Title
- CEO - ADMINISTRATOR
- Phone
- (631) 269-5800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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Individual Providers
| Provider Name | |
|---|---|
| DR. Maureen M. Orsen, MD | |
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| DR. Debra Pincus, MD |
Organizations
| Provider Name | |
|---|---|
| Kings Park Primary Medical Care PC | |
| Michael Desposito MD |
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