Healthcare Provider Details

I. General information

NPI: 1578550463
Provider Name (Legal Business Name): FLUSHING MANOR NURSING AND REHAB
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2005
Last Update Date: 08/22/2020
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: 718-461-1784
Mailing address:
  • Phone: 718-961-3500
  • Fax: 718-461-1784

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number7003365N
License Number StateNY

VIII. Authorized Official

Name: DR. ESTHER BENENSON
Title or Position: EXECUTIVE DIRECTOR
Credential: PHD
Phone: 781-961-3500