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NPI Code Detail

MEDICARE: TROY DIAMOND OPERATIONS LLC

MEDICARE: TROY DIAMOND OPERATIONS 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 Facility

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 : 1851925051
Entity Type Code : Organization
Provider Name (Legal Business Name) : TROY DIAMOND OPERATIONS LLC
Provider Business Mailing Address
First Line : 100 NEW TURNPIKE RD
Second Line :
City : TROY
State : NY
Zip : 12182-1412
Country : US
Telephone Number : 518-235-1410
Fax Number :
Provider Business Practice Location Address
First Line : 100 NEW TURNPIKE RD
Second Line :
City : TROY
State : NY
Zip : 12182-1412
Country : US
Telephone Number : 518-235-1410
Fax Number :
Authorized Official
Title or Position : MEMBER
Name : ARYEH GRINSPAN
Credential :
Telephone Number : 518-235-1410
Provider Enumeration Date : 02/26/2020
Last Update Date : 02/26/2020

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Directions to “TROY DIAMOND OPERATIONS LLC ” Practice Location

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