Provider Demographics
NPI:1487660031
Name:SAMUEL SCHULMAN INSTITUTE FOR NURSING & REHABILITATION
Entity Type:Organization
Organization Name:SAMUEL SCHULMAN INSTITUTE FOR NURSING & REHABILITATION
Other - Org Name:SCHULMAN AND SCHACHNE INST NURSING AND REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHCY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VERONIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHUSHANOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-240-6931
Mailing Address - Street 1:555 ROCKAWAY PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-3132
Mailing Address - Country:US
Mailing Address - Phone:718-240-5151
Mailing Address - Fax:718-240-8090
Practice Address - Street 1:555 ROCKAWAY PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-3132
Practice Address - Country:US
Practice Address - Phone:718-240-5151
Practice Address - Fax:718-240-8090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-01
Last Update Date:2016-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0141103336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2064790OtherPK
NY1520814Medicaid