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NPI Code Detail

MEDICARE: MICHAEL MELNICKE CATON PARK NURSING HOME

MEDICARE: MICHAEL MELNICKE CATON PARK NURSING HOME
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
1302R00000XHealth Maintenance Organization7001366NNY

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 : 1740366012
Entity Type Code : Organization
Provider Name (Legal Business Name) : MICHAEL MELNICKE CATON PARK NURSING HOME
Provider Business Mailing Address
First Line : 1312 CATON AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11226-1002
Country : US
Telephone Number : 718-693-7000
Fax Number : 718-284-2497
Provider Business Practice Location Address
First Line : 1312 CATON AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11226-1002
Country : US
Telephone Number : 718-693-7000
Fax Number : 718-284-2497
Authorized Official
Title or Position : CONTROLLER
Name : MR. ABRAHAM RUBINFELD
Credential :
Telephone Number : 718-693-7000
Provider Enumeration Date : 10/30/2006
Last Update Date : 04/22/2026

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BROOKLYN, NY
11226-1002
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1770257842 — KARLENE VALLE
Practice Location Address:
1312 CATON AVE
BROOKLYN, NY
11226-1002
Practice Phone: 718-693-7000
Practice Fax:
1538833280 — ESTHER SAMUEL
Practice Location Address:
1312 CATON AVE
BROOKLYN, NY
11226-1002
Practice Phone: 718-693-7000
Practice Fax:
1659046019 — SOPHONIE AMESFORT
Practice Location Address:
1312 CATON AVE
BROOKLYN, NY
11226-1002
Practice Phone: 718-693-7000
Practice Fax:

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