Organization Name: | FOREST VIEW NURSING HOME ADULT DAY CARE |
NPI Number: | 1629065255 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL BIDERMAN (ADMINISTRATOR) |
Mailing Address: | 457 Doughty Blvd Inwood |
State: | NY US |
Postal Code: | 110961344 |
Phone Number: | 5162391111 |
Fax Number: | 5163711714 |
NPI Enumeration Date: | 09/29/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | 7003387N |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |