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NPI Code Detail

MEDICARE: WHITE PLAINS NURSING HOME, INC.

MEDICARE: WHITE PLAINS NURSING HOME, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility7000380NNY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003988619
Entity Type Code : Organization
Provider Name (Legal Business Name) : WHITE PLAINS NURSING HOME, INC.
Provider Business Mailing Address
First Line : 3845 CARPENTER AVE
Second Line :
City : BRONX
State : NY
Zip : 10467-5204
Country : US
Telephone Number : 718-798-1100
Fax Number : 718-882-5530
Provider Business Practice Location Address
First Line : 3845 CARPENTER AVE
Second Line :
City : BRONX
State : NY
Zip : 10467-5204
Country : US
Telephone Number : 718-798-1100
Fax Number : 718-882-5530
Authorized Official
Title or Position : CFO
Name : MR. GREGG SEIDNER
Credential :
Telephone Number : 718-798-1100
Provider Enumeration Date : 11/15/2006
Last Update Date : 06/12/2008

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