Suffolk Center Receiver LLC
NPI #1396807244 in Pathchogue, New York
Provider Information
- NPI Number
- 1396807244
- Entity Type
- Organization
- Organization Name
- Suffolk Center Receiver LLC
- Primary Specialty
- Custodial Care Facility
- Enumeration Date
- Dec 15, 2006
- Last Updated
- Dec 3, 2007
Practice Location
- Address
- 25 SCHOENFELD BLVD
- City
- Pathchogue
- State
- New York
- ZIP Code
- 11772
- Phone
- (631) 289-7700
Authorized Official
- Name
- MR. PAUL KONSTAM
- Title
- ADMINISTRATOR
- Phone
- (631) 289-7700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility |
| Skilled Nursing Facility |
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