OrganizationActive
Private Self Care Provider
NPI 1609128487 · Pediatric Skilled Nursing Facility · Valley Stream, NY
Provider details
- NPI number
- 1609128487
- Entity type
- Organization
- Primary specialty
- Pediatric Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jenny Telfort, RN(347) 267-2991
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
53 5th St
Valley Stream, NY 11581-1210
Phone: (347) 267-2991
Approximate (ZIP-level) locationGet directions
Mailing address
53 5th St
Valley Stream, NY 11581-1210
Registry dates
- Enumerated
- 2012-10-04
- Last updated
- 2012-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.