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NPI Code Detail

MEDICARE: HENDON GARDEN CENTER LLC

MEDICARE: HENDON GARDEN CENTER LLC
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 FacilityNY

General Provider Information

NPI Number : 1457756371
Entity Type Code : Organization
Provider Name (Legal Business Name) : HENDON GARDEN CENTER LLC
Provider Business Mailing Address
First Line : 1711 BROOKHAVEN AVE
Second Line :
City : FAR ROCKAWAY
State : NY
Zip : 11691-4406
Country : US
Telephone Number : 718-869-8000
Fax Number :
Provider Business Practice Location Address
First Line : 1711 BROOKHAVEN AVE
Second Line :
City : FAR ROCKAWAY
State : NY
Zip : 11691-4406
Country : US
Telephone Number : 718-869-8000
Fax Number :
Authorized Official
Title or Position : MANAGER / MEMBER
Name : MICHAEL MELNICKE
Credential :
Telephone Number : 718-344-7087
Provider Enumeration Date : 11/04/2014
Last Update Date : 01/08/2026

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Directions to “HENDON GARDEN CENTER LLC ” Practice Location

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