De Witt Rehab And Nursing Home Phcy

LBN: De Witt Rehab And Nursing Home Phcy
De Witt Rehab And Nursing Home Phcy is an health care organization with primary practice located at 211 E 79Th St , New York NY 10021-0819. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty. De Witt Rehab And Nursing Home Phcy can be contacted via phone (212) 879-1600, or through Ahrens, Edward via phone (212) 879-1600.

Contact Information

Primary practice address
211 E 79Th St New York NY 10021-0819
Fax: (212) 879-4594
Website:
Authorized official contact:
Name: Ahrens, Edward R.PH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 025580 New York
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1033145735
LBN Legal business name De Witt Rehab And Nursing Home Phcy
DBA Doing business as
Authorized official Ahrens, Edward R.PH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2006
Last updated Dec 16th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033145735 NPPES
Other 3337979 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 00310421 OTHER ID NUMBER-COMMERCIAL NUMBER

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