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NPI Code Detail

MEDICARE: THE NEW MIDWAY CO LLC

MEDICARE: THE NEW MIDWAY CO 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 Facility7003340NNY

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 : 1356339824
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE NEW MIDWAY CO LLC
Provider Business Mailing Address
First Line : 6995 QUEENS MIDTOWN EXPY
Second Line :
City : MASPETH
State : NY
Zip : 11378-1922
Country : US
Telephone Number : 718-429-2200
Fax Number : 718-898-7582
Provider Business Practice Location Address
First Line : 6995 QUEENS MIDTOWN EXPY
Second Line :
City : MASPETH
State : NY
Zip : 11378-1922
Country : US
Telephone Number : 718-429-2200
Fax Number : 718-898-7582
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. MARTIN FREDERICK CZIRALCY
Credential : LNHA
Telephone Number : 718-429-2200
Provider Enumeration Date : 10/10/2005
Last Update Date : 08/22/2020

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Directions to “THE NEW MIDWAY CO LLC ” Practice Location

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