Healthcare Provider Details

I. General information

NPI: 1801233986
Provider Name (Legal Business Name): REFUAH HEALTH CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2013
Last Update Date: 01/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 LAUREL AVE
SOUTH FALLSBURG NY
12779-5804
US

IV. Provider business mailing address

36 LAUREL AVE
SOUTH FALLSBURG NY
12779-5804
US

V. Phone/Fax

Practice location:
  • Phone: 845-482-9395
  • Fax:
Mailing address:
  • Phone: 845-482-9395
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number031919
License Number StateNY

VIII. Authorized Official

Name: MRS. CHANI STERNBERG
Title or Position: PRESIDENT & CEO
Credential:
Phone: 845-354-9300