Healthcare Provider Details

I. General information

NPI: 1033236211
Provider Name (Legal Business Name): AMSTERDAM NURSING HOME CORPORATION (1992)
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1060 AMSTERDAM AVE
NEW YORK NY
10025-1715
US

IV. Provider business mailing address

1060 AMSTERDAM AVE
NEW YORK NY
10025-1715
US

V. Phone/Fax

Practice location:
  • Phone: 212-316-7700
  • Fax: 212-662-1793
Mailing address:
  • Phone: 212-316-7700
  • Fax: 212-662-1793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. MARK PANCIRER
Title or Position: VICE PRESIDENT C.F.O.
Credential:
Phone: 212-734-6621