Organization · Type 2 NPI
Self Employed
Skilled Nursing Facility · Mastic Beach, NY
Practice location
74 Mill Dr
Mastic Beach, NY 11951-1403
Mailing address
67 Radburn Dr
Farmingville, NY 11738-1046
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 705976-1 (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
- Allyson R. Murphy, LPNLicensed Practical Nurse Mastic Beach, NY NPI 1497091581
- Andrea Golembeski, LPNLicensed Practical Nurse Mastic Beach, NY NPI 1801128517
- Andreza Martinta, RNRegistered Nurse Mastic Beach, NY NPI 1780023366
- Angela R. Tassa, LPNLicensed Practical Nurse Mastic Beach, NY NPI 1801170790
- Carissa Ellis, R.N.Registered Nurse Mastic Beach, NY NPI 1740632496
- Chinaedu S. Asia, LPNLicensed Practical Nurse Mastic Beach, NY NPI 1194151886
- Elizabeth ElshazlyLicensed Practical Nurse Mastic Beach, NY NPI 1962705681
- Jessica B. ConlonLicensed Practical Nurse Mastic Beach, NY NPI 1437271525
- Jessica Fischer, LPNLicensed Practical Nurse Mastic Beach, NY NPI 1043758717
- Laura DurandisLicensed Practical Nurse Mastic Beach, NY NPI 1235577834
- Linda McAuliff, R.N.Registered Nurse Mastic Beach, NY NPI 1285902726
- Melissa Johnston, RNRegistered Nurse Mastic Beach, NY NPI 1912308107
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.