Provider Demographics
NPI:1336662840
Name:THE ROSALIND AND JOSEPH GURWIN JEWISH GERIATRIC CENTER OF LONG ISLAND
Entity Type:Organization
Organization Name:THE ROSALIND AND JOSEPH GURWIN JEWISH GERIATRIC CENTER OF LONG ISLAND
Other - Org Name:SOCIAL ADULT DAY CARE PROGRAM
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:DONNELLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-715-2518
Mailing Address - Street 1:68 HAUPPAUGE RD
Mailing Address - Street 2:
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-4403
Mailing Address - Country:US
Mailing Address - Phone:631-715-2518
Mailing Address - Fax:631-715-2723
Practice Address - Street 1:68 HAUPPAUGE RD
Practice Address - Street 2:
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-4403
Practice Address - Country:US
Practice Address - Phone:631-715-2518
Practice Address - Fax:631-715-2723
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE ROSALIND AND JOSEPH GURWIN JEWISH GERIATRIC CENTER OF LONG ISLAND
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-07-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care