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NPI Code Detail

MEDICARE: SUNHARBOR ACQUISITION I , LLC

MEDICARE: SUNHARBOR ACQUISITION I , 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 Facility45605005NY

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 : 1346249216
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNHARBOR ACQUISITION I , LLC
Provider Business Mailing Address
First Line : 255 WARNER AVE
Second Line :
City : ROSLYN HEIGHTS
State : NY
Zip : 11577-1000
Country : US
Telephone Number : 516-621-5400
Fax Number :
Provider Business Practice Location Address
First Line : 255 WARNER AVE
Second Line :
City : ROSLYN HEIGHTS
State : NY
Zip : 11577-1000
Country : US
Telephone Number : 516-621-5400
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. ISRAEL SHERMAN
Credential :
Telephone Number : 516-621-5400
Provider Enumeration Date : 07/21/2005
Last Update Date : 11/27/2008

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