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NPI 1245619121 · Nursing Facility/Intermediate Care Facility · Elmont, NY
Provider details
- NPI number
- 1245619121
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Marie Milcent, Registered Nurse(917) 671-8746
- License
- 668541-1 (NY)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
2040 Renfrew Ave
Elmont, NY 11003-2909
Phone: (516) 519-8467
Fax: (516) 519-8467
Approximate (ZIP-level) locationGet directions
Mailing address
2040 Renfrew Ave
Elmont, NY 11003-2909
Registry dates
- Enumerated
- 2015-05-25
- Last updated
- 2015-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.