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Contact Information

D0E
5040 JACOBUS ST
ELMHURST, NY11373-3702
 Phone: 718-429-7006
 Fax: 718-429-6864
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for D0E

NPI Number 1750656021
LBN Legal business name D0E
Authorized official MARIA DAULO - (STAFF NURSE)
Entity Organization
Organization subpart 1 No
Enumeration date 03/19/2012
Last updated 03/19/2012 - About 14 years ago
Identifiers
NY License # 443418-1
NY Medicaid 0440065
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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