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NPI Code Detail

MEDICARE: EPISCOPAL HEALTH SERVICES INC

MEDICARE: EPISCOPAL HEALTH SERVICES 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 Facility7003356NNY

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 : 1215006960
Entity Type Code : Organization
Provider Name (Legal Business Name) : EPISCOPAL HEALTH SERVICES INC
Provider Business Mailing Address
First Line : 1711 BROOKHAVEN AVE
Second Line :
City : FAR ROCKAWAY
State : NY
Zip : 11691-4406
Country : US
Telephone Number : 718-869-7641
Fax Number : 718-869-8507
Provider Business Practice Location Address
First Line : 1711 BROOKHAVEN AVE
Second Line :
City : FAR ROCKAWAY
State : NY
Zip : 11691-4406
Country : US
Telephone Number : 718-869-7641
Fax Number : 718-869-8507
Authorized Official
Title or Position : CORPORATE CONTROLLER
Name : MR. CHERIAN PALATHRA
Credential :
Telephone Number : 516-349-5227
Provider Enumeration Date : 11/07/2006
Last Update Date : 11/23/2011

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Directions to “EPISCOPAL HEALTH SERVICES INC ” Practice Location

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