Menorah Park Group Residents

LBN: Menorah Park Group Residents
Menorah Park Group Residents is an health care organization with primary practice located at 12 Jamar Drive , Dewitt NY 13066. The organization recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as the primary health care specialty. Menorah Park Group Residents can be contacted via phone (315) 446-9111, or through Cole, Toni via phone (315) 446-9111.

Contact Information

Primary practice address
12 Jamar Drive Dewitt NY 13066
Phone: (315) 446-9111
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cole, Toni
Phone: (315) 446-9111

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X SPV46480 New York

Profile Details

NPI number 1689815805
LBN Legal business name Menorah Park Group Residents
DBA Doing business as
Authorized official Cole, Toni
Entity Organization
Organization subpart 1 No
Enumeration date Mar 18th, 2009
Last updated Mar 18th, 2009 - about 15 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 1689815805 NPPES
New York MEDICAID 03035921

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