Self
NPI #1811334758 in Amityville, New York
Provider Information
- NPI Number
- 1811334758
- Entity Type
- Organization
- Organization Name
- Self
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SELF
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jun 2, 2013
- Last Updated
- Jun 2, 2013
Practice Location
- Address
- 4 SPRUCE RD
- City
- Amityville
- State
- New York
- ZIP Code
- 11701-1019
- Phone
- (631) 413-6210
Authorized Official
- Name
- ELCIE BESSE
- Title
- LPN
- Phone
- (631) 413-6210
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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