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NPI Code Detail

MEDICARE: UCP BAYVILLE INC.

MEDICARE: UCP BAYVILLE 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
1313M00000XNursing Facility/Intermediate Care Facility8077440NY

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 : 1427062488
Entity Type Code : Organization
Provider Name (Legal Business Name) : UCP BAYVILLE INC.
Provider Business Mailing Address
First Line : 85 BAYVILLE AVE
Second Line :
City : BAYVILLE
State : NY
Zip : 11709-1629
Country : US
Telephone Number : 516-628-3500
Fax Number : 516-628-1121
Provider Business Practice Location Address
First Line : 85 BAYVILLE AVE
Second Line :
City : BAYVILLE
State : NY
Zip : 11709-1629
Country : US
Telephone Number : 516-628-3500
Fax Number : 516-628-1121
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. PAUL LOWRY
Credential :
Telephone Number : 516-628-3500
Provider Enumeration Date : 07/27/2006
Last Update Date : 08/22/2020

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Directions to “UCP BAYVILLE INC. ” Practice Location

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