Healthcare Provider Details
I. General information
NPI: 1497268106
Provider Name (Legal Business Name): BARNWELL OPERATIONS ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/16/2017
Last Update Date: 04/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3230 CHURCH ST
VALATIE NY
12184-2303
US
IV. Provider business mailing address
1720 WHITESTONE EXPY STE 500
WHITESTONE NY
11357-3021
US
V. Phone/Fax
- Phone: 518-758-6222
- Fax:
- Phone: 718-215-6000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JEREMY
STRAUSS
Title or Position: MBR
Credential:
Phone: 718-215-6000