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General NPI Number Information
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NPI Number | 1487669172
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Entity Type | Organization
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Legal Business Name | ISLAND REHABILITATION AND NURSING CENTER INC
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 5537 EXPRESSWAY DR N
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City | HOLTSVILLE
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State | NY
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Zip | 11742-1316
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Country | US
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Telephone | 631-758-3336
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Fax | 631-930-7413
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Provider Business Mailing Address
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Address Line | 5537 EXPRESSWAY DR N
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City | HOLTSVILLE
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State | NY
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Zip | 11742-1316
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Country | US
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Telephone | 631-758-3336
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Fax | 631-930-7413
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. LOUIS VITERITTI
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Credential |
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Telephone | 631-715-2511
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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 | 5151318N
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License Number State | NY
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