Provider Demographics
NPI:1447448527
Name:CENTER FOR NURSING AND REHABILITATION
Entity type:Organization
Organization Name:CENTER FOR NURSING AND REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT DIRECTOR OF ADMISSION
Authorized Official - Prefix:MS
Authorized Official - First Name:LIDIA
Authorized Official - Middle Name:F
Authorized Official - Last Name:LEUDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:171-863-6100
Mailing Address - Street 1:520 PROSPECT PL
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-4205
Mailing Address - Country:US
Mailing Address - Phone:171-863-6100
Mailing Address - Fax:171-885-7455
Practice Address - Street 1:520 PROSPECT PL
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-4205
Practice Address - Country:US
Practice Address - Phone:171-863-6100
Practice Address - Fax:171-885-7455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-15
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7001354N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility