STATEN ISLAND CARE CENTER; NPI #1487676649

Contact Information

STATEN ISLAND CARE CENTER

200 LAFAYETTE AVE
STATEN ISLAND, NY 10301-1219

Phone: 718-448-9000
Fax: 718-727-2712
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Nursing Home Administrator	376G00000X

Indicates primary specialty

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NPI Profile & details for STATEN ISLAND CARE CENTER

NPI # 1487676649

LBN Legal business name STATEN ISLAND CARE CENTER

Authorized official MATIS WEINSTOCK - (ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/24/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

NY	License #	02479
NY	Medicaid	00314690

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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STATEN ISLAND CARE CENTER

Contact Information

Specialty

Nursing Home Administrator

NPI Profile & details for STATEN ISLAND CARE CENTER

Reviews for STATEN ISLAND CARE CENTER