MEDICARE: BEZALEL NURSING HOME COMPANY

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	7003352N	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	7003352N	OTHER	NY	OPERATING CERTIFICATE #

General Provider Information

NPI Number	:	1720159379
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEZALEL NURSING HOME COMPANY

Provider Business Mailing Address
First Line	:	2938 FAR ROCKAWAY BLVD
Second Line	:
City	:	FAR ROCKAWAY
State	:	NY
Zip	:	11691-1947
Country	:	US
Telephone Number	:	718-471-2600
Fax Number	:	718-471-2705

Provider Business Practice Location Address
First Line	:	2938 FAR ROCKAWAY BLVD
Second Line	:
City	:	FAR ROCKAWAY
State	:	NY
Zip	:	11691-1947
Country	:	US
Telephone Number	:	718-471-2600
Fax Number	:	718-471-2705

Authorized Official
Title or Position	:	BOARD MEMBER
Name	:	MR. YOSSI KRAUS
Credential	:
Telephone Number	:	718-471-2600

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	08/18/2022

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