Healthcare Provider Details

I. General information

NPI: 1629477427
Provider Name (Legal Business Name): NASSAU OPERATING CO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2014
Last Update Date: 08/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 GREENWICH ST
HEMPSTEAD NY
11550-5624
US

IV. Provider business mailing address

1 GREENWICH ST
HEMPSTEAD NY
11550-5624
US

V. Phone/Fax

Practice location:
  • Phone: 516-565-4800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number2906305N
License Number StateNY

VIII. Authorized Official

Name: BENT PHILIPSON
Title or Position: OWNER
Credential:
Phone: 516-869-3700