Healthcare Provider Details

I. General information

NPI: 1356331565
Provider Name (Legal Business Name): EGER HEALTH CARE AND REHABILITATION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2005
Last Update Date: 03/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 MEISNER AVE
STATEN ISLAND NY
10306-1236
US

IV. Provider business mailing address

140 MEISNER AVE
STATEN ISLAND NY
10306-1236
US

V. Phone/Fax

Practice location:
  • Phone: 718-989-3021
  • Fax: 718-980-3040
Mailing address:
  • Phone: 718-989-3021
  • Fax: 718-980-3040

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. DAVID ROSE
Title or Position: CEO/ADMINISTRATOR
Credential:
Phone: 718-989-3002