Healthcare Provider Details

I. General information

NPI: 1518466119
Provider Name (Legal Business Name): RTRNC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2018
Last Update Date: 02/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28652 STATE HIGHWAY 23
STAMFORD NY
12167-1712
US

IV. Provider business mailing address

1 HILLCREST CTR STE 325
SPRING VALLEY NY
10977-3740
US

V. Phone/Fax

Practice location:
  • Phone: 607-652-7521
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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