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NPI 1093191488

NPI 1093191488 : SAFIRE REHABILITATION OF NORTHTOWNS LLC : TONAWANDA, NY

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General NPI Number Information
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    NPI Number           |    1093191488
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    Entity Type          |    Organization 
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    Legal Business Name  |    SAFIRE REHABILITATION OF NORTHTOWNS LLC 
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Dates
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    Enumeration Date     |    08/07/2015
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    Last Update Date     |    01/29/2026
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Provider Practice Location Address
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    Address Line         |    2799 SHERIDAN DR 
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    City                 |    TONAWANDA
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    State                |    NY
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    Zip                  |    14150-9463
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    Country              |    US
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    Telephone            |    718-866-8677
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2799 SHERIDAN DRIVE 
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    City                 |    TONAWANDA
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    State                |    NY
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    Zip                  |    14150
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    Country              |    US
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    Telephone            |    716-276-1900
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    Fax                  |    716-634-7721
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Authorized Official
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    Title or Position    |    REGIONAL ADMINISTRATOR
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    Name                 |     MAYER Z LIPSCHITZ 
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    Credential           |    LNHA
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    Telephone            |    716-276-1900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    314000000X
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    Taxonomy Name        |    Skilled Nursing Facility
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    License Number       |    
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    License Number State |    NY
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