Healthcare Provider Details

I. General information

NPI: 1134666720
Provider Name (Legal Business Name): SAPPHIRE CENTER FOR REHABILITATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2017
Last Update Date: 01/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3515 PARSONS BLVD
FLUSHING NY
11354-4236
US

IV. Provider business mailing address

3515 PARSONS BLVD
FLUSHING NY
11354-4236
US

V. Phone/Fax

Practice location:
  • Phone: 718-961-3500
  • Fax:
Mailing address:
  • Phone: 718-961-3500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License NumberF338512-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberF338512-1
License Number StateNY

VIII. Authorized Official

Name: DR. ION OLTEAN
Title or Position: MD
Credential: MD
Phone: 718-961-3500