Healthcare Provider Details

I. General information

NPI: 1326492380
Provider Name (Legal Business Name): ECRNC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2016
Last Update Date: 04/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1070 LUTHER RD
EAST GREENBUSH NY
12061-4020
US

IV. Provider business mailing address

1 HILLCREST CTR SUITE #325
SPRING VALLEY NY
10977-3740
US

V. Phone/Fax

Practice location:
  • Phone: 518-479-4662
  • Fax: 518-479-3978
Mailing address:
  • Phone: 845-371-8100
  • Fax: 845-371-0010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: EFRAIM STEIF
Title or Position: MEMBER
Credential:
Phone: 845-371-8100