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NPI Code Detail

MEDICARE: MIRIAM OSBORN MEMORIAL HOME ASSOCIATION

MEDICARE: MIRIAM OSBORN MEMORIAL HOME ASSOCIATION
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
1313M00000XNursing Facility/Intermediate Care Facility5954300NNY

General Provider Information

NPI Number : 1285633354
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIRIAM OSBORN MEMORIAL HOME ASSOCIATION
Provider Business Mailing Address
First Line : 101 THEALL RD
Second Line :
City : RYE
State : NY
Zip : 10580-1406
Country : US
Telephone Number : 914-925-8350
Fax Number : 914-925-8294
Provider Business Practice Location Address
First Line : 101 THEALL RD
Second Line :
City : RYE
State : NY
Zip : 10580-1406
Country : US
Telephone Number : 914-925-8350
Fax Number : 914-925-8294
Authorized Official
Title or Position : CONTROLLER
Name : MR. GOPAL P PATEL
Credential : CPA
Telephone Number : 914-925-8208
Provider Enumeration Date : 07/20/2005
Last Update Date : 07/02/2008

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Directions to “MIRIAM OSBORN MEMORIAL HOME ASSOCIATION ” Practice Location

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