Organization · Type 2 NPI

Self Employed

Skilled Nursing Facility · Mastic Beach, NY

NPI number 1033582291 Active

Practice location

74 Mill Dr
Mastic Beach, NY 11951-1403

Mailing address

67 Radburn Dr
Farmingville, NY 11738-1046

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X705976-1 (NY)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

15 other providers at this address

About NPI 1033582291

Self Employed's National Provider Identifier is 1033582291, issued on Nov 9, 2015. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Mastic Beach, NY. The record was last updated on Nov 9, 2015.