Provider Demographics
NPI:1376523274
Name:CABRINI CENTER FOR NURSING AND REHABILITATION
Entity Type:Organization
Organization Name:CABRINI CENTER FOR NURSING AND REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-358-6266
Mailing Address - Street 1:542 E 5TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-6531
Mailing Address - Country:US
Mailing Address - Phone:212-358-3000
Mailing Address - Fax:212-358-3063
Practice Address - Street 1:115 BROADWAY
Practice Address - Street 2:
Practice Address - City:DOBBS FERRY
Practice Address - State:NY
Practice Address - Zip Code:10522-2835
Practice Address - Country:US
Practice Address - Phone:914-693-6800
Practice Address - Fax:914-693-1731
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CABRINI CENTER FOR NURSING AND REHABILITATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-01-18
Last Update Date:2012-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7002350N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00310536Medicaid
NY00310536Medicaid