=====================================================
General NPI Number Information
=====================================================
NPI Number | 1922416544
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ONTARIO OPERATIONS ASSOC LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/28/2014
-----------------------------------------------------
Last Update Date | 12/17/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3062 COUNTY COMPLEX DR
-----------------------------------------------------
City | CANANDAIGUA
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14424-9502
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 585-396-4340
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4770 WHITE PLAINS RD
-----------------------------------------------------
City | BRONX
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10470-1136
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-931-9700
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MEMBER
-----------------------------------------------------
Name | MR. AMIR ABRAMCHIK
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 718-931-9700
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 314000000X
-----------------------------------------------------
Taxonomy Name | Skilled Nursing Facility
-----------------------------------------------------
License Number | 3429304N
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------