Healthcare Provider Details
I. General information
NPI: 1336486745
Provider Name (Legal Business Name): CATON PARK REHABILITATION AND NURSING
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/07/2013
Last Update Date: 01/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1312 CATON AVE
BROOKLYN NY
11226-1002
US
IV. Provider business mailing address
1312 CATON AVE
BROOKLYN NY
11226-1002
US
V. Phone/Fax
- Phone: 718-693-7000
- Fax: 718-284-2497
- Phone: 718-693-7000
- Fax: 718-284-2497
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | 7001366N |
| License Number State | NY |
VIII. Authorized Official
Name:
ABRAHAM
RUBINFELD
Title or Position: ASSIST. ADMINISTRATOR
Credential:
Phone: 718-693-7000