MEDICARE: PRESBYTERIAN RESIDENTIAL COMMUNITY, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0600X	Adult Day Care Clinic/Center
2	310400000X	Assisted Living Facility	510E065	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215033071
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRESBYTERIAN RESIDENTIAL COMMUNITY, INC.

Provider Business Mailing Address
First Line	:	PO BOX 717
Second Line	:
City	:	NEW HARTFORD
State	:	NY
Zip	:	13413-0717
Country	:	US
Telephone Number	:	315-724-9300
Fax Number	:	315-724-7470

Provider Business Practice Location Address
First Line	:	4300 MIDDLE SETTLEMENT RD
Second Line	:
City	:	NEW HARTFORD
State	:	NY
Zip	:	13413-5316
Country	:	US
Telephone Number	:	315-724-9300
Fax Number	:	315-724-7470

Authorized Official
Title or Position	:	CFO
Name	:	ROXANNE COTTER
Credential	:
Telephone Number	:	315-235-7120

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	11/18/2025

Similar Medicare Providers

1346221660 — JUDITH HERTANU MD
Practice Location Address:

10 UNION SQ E , BETH ISRAEL MED CTR- DEPT OF REHAB MEDICARE
NEW YORK, NY
10003-3314

Practice Phone: 212-420-2757
Practice Fax:

1912986159 — DR. JOANNE PALUMBO MOZLOOM O.D.
Practice Location Address:

4350 MIDDLE SETTLEMENT RD
NEW HARTFORD, NY
13413-5316

Practice Phone: 315-733-2020
Practice Fax: 315-735-3628

1912008608 — PRESBYTERIAN RESIDENTIAL COMMUNITY, INC.
Practice Location Address:

4300 MIDDLE SETTLEMENT RD
NEW HARTFORD, NY
13413-5316

Practice Phone: 315-724-9300
Practice Fax: 315-724-7470

1508957341 — CAMELOT OPTICAL CORP
Practice Location Address:

4350 MIDDLE SETTLEMENT RD
NEW HARTFORD, NY
13413-5316

Practice Phone: 315-732-2020
Practice Fax:

1578654331 — ANTHONY J PALUMBO M D P C
Practice Location Address:

4350 MIDDLE SETTLEMENT RD
NEW HARTFORD, NY
13413-5316

Practice Phone: 315-733-2020
Practice Fax:

1003273194 — DANIEL G HERBOWY
Practice Location Address:

4340 MIDDLE SETTLEMENT RD
NEW HARTFORD, NY
13413-5316

Practice Phone: 315-738-7772
Practice Fax:

Directions to “PRESBYTERIAN RESIDENTIAL COMMUNITY, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.