Crest Hall Corp.
NPI #1801889985 in Middle Island, New York
Provider Information
- NPI Number
- 1801889985
- Entity Type
- Organization
- Organization Name
- Crest Hall Corp.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 24, 2005
- Last Updated
- Feb 6, 2008
Practice Location
- Address
- 63 OAKCREST AVE
- City
- Middle Island
- State
- New York
- ZIP Code
- 11953-1415
- Phone
- (631) 924-8830
Authorized Official
- Name
- DR. JACOB DIMANT, M.D.
- Title
- PRESIDENT
- Phone
- (631) 924-8830
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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