Healthcare Provider Details

I. General information

NPI: 1518335470
Provider Name (Legal Business Name): SYMPATICARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2015
Last Update Date: 09/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 SANATORIUM RD
POMONA NY
10970-3555
US

IV. Provider business mailing address

12 SOPHIA ST
MONSEY NY
10952-2012
US

V. Phone/Fax

Practice location:
  • Phone: 845-364-2721
  • Fax:
Mailing address:
  • Phone: 845-913-6978
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. SHALOM BRAUNSTEIN
Title or Position: SOLE MBR
Credential:
Phone: 845-913-6978