Healthcare Provider Details

I. General information

NPI: 1952737637
Provider Name (Legal Business Name): BTRNC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2013
Last Update Date: 09/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

318 S ALBANY ST
ITHACA NY
14850-5406
US

IV. Provider business mailing address

1 HILLCREST CTR SUITE #225
SPRING VALLEY NY
10977-3740
US

V. Phone/Fax

Practice location:
  • Phone: 607-273-4166
  • Fax: 607-277-7004
Mailing address:
  • Phone: 845-371-8100
  • Fax: 845-678-8728

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number5401309M
License Number StateNY

VIII. Authorized Official

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