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NPI Code Detail

MEDICARE: FOREST VIEW NURSING HOME, INC.

MEDICARE: FOREST VIEW NURSING HOME, 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 Facility7003387NNY

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 : 1396732921
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOREST VIEW NURSING HOME, INC.
Provider Business Mailing Address
First Line : 7120 110TH ST
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-4844
Country : US
Telephone Number : 718-793-3200
Fax Number : 718-793-1131
Provider Business Practice Location Address
First Line : 7120 110TH ST
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-4844
Country : US
Telephone Number : 718-793-3200
Fax Number : 718-793-1131
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. MICHAEL BIDERMAN
Credential :
Telephone Number : 718-793-3200
Provider Enumeration Date : 09/29/2005
Last Update Date : 05/29/2008

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