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NPI Code Detail

MEDICARE: PALJR LLC

MEDICARE: PALJR LLC
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
1314000000XSkilled Nursing Facility5150303NNY

Other Identifiers

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

General Provider Information

NPI Number : 1235138165
Entity Type Code : Organization
Provider Name (Legal Business Name) : PALJR LLC
Provider Business Mailing Address
First Line : 134 GREAT EAST NECK RD
Second Line :
City : WEST BABYLON
State : NY
Zip : 11704-8027
Country : US
Telephone Number : 631-422-4800
Fax Number : 631-422-1371
Provider Business Practice Location Address
First Line : 134 GREAT EAST NECK RD
Second Line :
City : WEST BABYLON
State : NY
Zip : 11704-8027
Country : US
Telephone Number : 631-422-4800
Fax Number : 631-422-1371
Authorized Official
Title or Position : MANAGING MEMBER
Name : MR. ALEX SOLOVEY
Credential :
Telephone Number : 631-422-4800
Provider Enumeration Date : 07/21/2005
Last Update Date : 06/21/2023

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Directions to “PALJR LLC ” Practice Location

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