MEDICARE: CENTER FOR NURSING AND REHABILITATION

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	7001354N	NY

General Provider Information

NPI Number	:	1447448527
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR NURSING AND REHABILITATION

Provider Business Mailing Address
First Line	:	520 PROSPECT PL
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11238-4205
Country	:	US
Telephone Number	:	171-863-6100
Fax Number	:	171-885-7455

Provider Business Practice Location Address
First Line	:	520 PROSPECT PL
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11238-4205
Country	:	US
Telephone Number	:	171-863-6100
Fax Number	:	171-885-7455

Authorized Official
Title or Position	:	ASSISTANT DIRECTOR OF ADMISSION
Name	:	MS. LIDIA F LEUDO
Credential	:
Telephone Number	:	171-863-6100

Provider Enumeration Date	:	10/15/2007
Last Update Date	:	10/15/2007

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