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NPI Code Detail

MEDICARE: DITMAS PARK REHABILITATION & CARE CENTER LLC

MEDICARE: DITMAS PARK REHABILITATION & CARE CENTER 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
13140N1450XPediatric Skilled Nursing Facility
2314000000XSkilled Nursing FacilityPENDINGNY

General Provider Information

NPI Number : 1497994800
Entity Type Code : Organization
Provider Name (Legal Business Name) : DITMAS PARK REHABILITATION & CARE CENTER LLC
Provider Business Mailing Address
First Line : 2107 DITMAS AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11226-6903
Country : US
Telephone Number : 718-462-8100
Fax Number : 718-941-6051
Provider Business Practice Location Address
First Line : 2107 DITMAS AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11226-6903
Country : US
Telephone Number : 718-462-8100
Fax Number : 718-941-6051
Authorized Official
Title or Position : PARTNER
Name : MR. SHABSE OBERLANDER
Credential :
Telephone Number : 718-462-8100
Provider Enumeration Date : 02/09/2009
Last Update Date : 05/16/2023

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Directions to “DITMAS PARK REHABILITATION & CARE CENTER LLC ” Practice Location

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