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NPI Code Detail

MEDICARE: SEPHARDIC HOME FOR THE AGED, INC.

MEDICARE: SEPHARDIC HOME FOR THE AGED, 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
1314000000XSkilled Nursing Facility7001303NNY

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 : 1245227859
Entity Type Code : Organization
Provider Name (Legal Business Name) : SEPHARDIC HOME FOR THE AGED, INC.
Provider Business Mailing Address
First Line : 2266 CROPSEY AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-5706
Country : US
Telephone Number : 718-266-6100
Fax Number : 718-363-2865
Provider Business Practice Location Address
First Line : 2266 CROPSEY AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-5706
Country : US
Telephone Number : 718-266-6100
Fax Number : 718-363-2865
Authorized Official
Title or Position : CEO
Name : MR. ARTHUR E NEW
Credential :
Telephone Number : 718-266-6100
Provider Enumeration Date : 09/29/2005
Last Update Date : 11/09/2010

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Directions to “SEPHARDIC HOME FOR THE AGED, INC. ” Practice Location

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