OrganizationActive
Avalon Gardens
NPI 1629339478 · Pediatric Skilled Nursing Facility · Smithtown, NY
Provider details
- NPI number
- 1629339478
- Entity type
- Organization
- Primary specialty
- Pediatric Skilled Nursing FacilityNursing & Custodial Care Facilities
- Authorized official
- Akiva Fogel, Administrator
- License
- 195281 (NY)
Mailing address
211 Symphony Dr
Lake Grove, NY 11755-1318
Registry dates
- Enumerated
- 2012-06-07
- Last updated
- 2012-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.