MEDICARE: THE PREMIER CENTER FOR REHABILITATION OF WESTCHESTER 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
1	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1386330124
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE PREMIER CENTER FOR REHABILITATION OF WESTCHESTER LLC

Provider Business Mailing Address
First Line	:	199 COMMUNITY DR
Second Line	:
City	:	GREAT NECK
State	:	NY
Zip	:	11021-5502
Country	:	US
Telephone Number	:	516-303-0100
Fax Number	:	516-365-2381

Provider Business Practice Location Address
First Line	:	67 SPRINGVALE RD
Second Line	:
City	:	CROTON ON HUDSON
State	:	NY
Zip	:	10520-1343
Country	:	US
Telephone Number	:	914-739-6700
Fax Number	:	914-736-0092

Authorized Official
Title or Position	:	MANAGER
Name	:	MRS. SORAH BLEIER
Credential	:
Telephone Number	:	516-303-0100

Provider Enumeration Date	:	04/14/2023
Last Update Date	:	09/21/2023

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