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NPI Code Detail

MEDICARE: BAYVIEW MANOR LLC

MEDICARE: BAYVIEW MANOR 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
1314000000XSkilled Nursing Facility2961302NNY

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 : 1952383291
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAYVIEW MANOR LLC
Provider Business Mailing Address
First Line : 1 LONG BEACH RD
Second Line :
City : ISLAND PARK
State : NY
Zip : 11558-2254
Country : US
Telephone Number : 516-432-0300
Fax Number : 516-432-1204
Provider Business Practice Location Address
First Line : 1 LONG BEACH RD
Second Line :
City : ISLAND PARK
State : NY
Zip : 11558-2254
Country : US
Telephone Number : 516-432-0300
Fax Number : 516-432-1204
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. AVI KATZ
Credential :
Telephone Number : 516-432-0300
Provider Enumeration Date : 11/14/2005
Last Update Date : 08/22/2020

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Directions to “BAYVIEW MANOR LLC ” Practice Location

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