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Contact Information

KOMANOFF CENTER FOR GERIATRIC & REHAB MEDICINE
375 EAST BAY DRIVE
LONG BEACH, NY11561
 Phone: 516-897-1065
 Fax: 516-897-1064
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for KOMANOFF CENTER FOR GERIATRIC & REHAB MEDICINE

NPI Number 1801819875
LBN Legal business name KOMANOFF CENTER FOR GERIATRIC & REHAB MEDICINE
Authorized official ALEX SKUTZKA - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/25/2006
Last updated 12/16/2014 - About 11 years ago
Identifiers
NY License # 2902302N
NY Medicaid 00313988
Other 009461 BLUE CROSS
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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