Healthcare Provider Details

I. General information

NPI: 1083386080
Provider Name (Legal Business Name): NASSAU HEALTH CARE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2021
Last Update Date: 09/29/2021
Certification Date: 09/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 MAIN ST
HEMPSTEAD NY
11550-2414
US

IV. Provider business mailing address

2201 HEMPSTEAD TPKE
EAST MEADOW NY
11554-1859
US

V. Phone/Fax

Practice location:
  • Phone: 516-486-6862
  • Fax:
Mailing address:
  • Phone: 516-486-6862
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RICHARD J RANK
Title or Position: DIRECTOR OF FINANCE
Credential:
Phone: 516-296-2124