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General NPI Number Information
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NPI Number | 1346317484
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Entity Type | Organization
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Legal Business Name | ROSS HEALTH CARE CENTER, INC.
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 10/20/2015
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Provider Practice Location Address
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Address Line | 839 SUFFOLK AVENUE
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City | BRENTWOOD
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State | NY
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Zip | 11717-4403
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Country | US
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Telephone | 631-273-4700
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Fax | 631-273-9734
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Provider Business Mailing Address
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Address Line | 46 STAUDERMAN AVE
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City | LYNBROOK
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State | NY
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Zip | 11563-2524
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Country | US
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Telephone | 516-705-4800
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Fax | 516-887-8494
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Authorized Official
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Title or Position | CFO
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Name | BARRY BOKOW
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Credential |
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Telephone | 516-705-4802
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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 | 5154320N
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 5154320-N
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License Number State | NY
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