Healthcare Provider Details

I. General information

NPI: 1871697839
Provider Name (Legal Business Name): JEWISH HOME LIFECARE SARAH NEUMAN CENTER WESTCHESTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2006
Last Update Date: 12/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

845 PALMER AVE
MAMARONECK NY
10543-2406
US

IV. Provider business mailing address

845 PALMER AVE
MAMARONECK NY
10543-2406
US

V. Phone/Fax

Practice location:
  • Phone: 914-864-5190
  • Fax: 914-864-5195
Mailing address:
  • Phone: 914-864-5190
  • Fax: 914-864-5195

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number021374
License Number StateNY

VIII. Authorized Official

Name: RENEE HOFMAN
Title or Position: SENIOR DIRECTOR, PHARMACY
Credential: MS, RPH
Phone: 914-864-5190