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General NPI Number Information
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NPI Number | 1578550463
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Entity Type | Organization
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Legal Business Name | FLUSHING MANOR NURSING AND REHAB
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Dates
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Enumeration Date | 10/05/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3515 PARSONS BLVD
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City | FLUSHING
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State | NY
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Zip | 11354-4236
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Country | US
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Telephone | 718-961-3500
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Fax | 718-461-1784
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Provider Business Mailing Address
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Address Line | 3515 PARSONS BLVD
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City | FLUSHING
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State | NY
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Zip | 11354-4236
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Country | US
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Telephone | 718-961-3500
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Fax | 718-461-1784
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. ESTHER BENENSON
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Credential | PHD
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Telephone | 781-961-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 7003365N
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License Number State | NY
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