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Contact Information

SUFFOLK CENTER RECEIVER LLC
25 SCHOENFELD BLVD
PATCHOGUE, NY11772
 Phone: 631-289-7700
 Fax: 631-289-7726
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Custodial Care Facility

311Z00000X
Indicates primary specialty

NPI Profile & details for SUFFOLK CENTER RECEIVER LLC

NPI Number 1396807244
LBN Legal business name SUFFOLK CENTER RECEIVER LLC
Authorized official PAUL KONSTAM - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/15/2006
Last updated 12/03/2007 - About 19 years ago
Identifiers
NY License # 5123300N
NY Medicaid 00309733
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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