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Stonehedge Aquisition Chittenango I, Llc

Stonehedge Aquisition Chittenango I, Llc is a health care provider in Monsey, NY. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 331 Russell St, Chittenango, NY 13037-1201, US
Practice Location Phone315-687-7255
Practice Location Fax315-687-9169
Legal Business NameSTONEHEDGE AQUISITION CHITTENANGO I, LLC
NPI ?1477541084
Entity TypeOrganization
Enumeration Date ? Oct 7, 2005
Last Update Date ? Aug 6, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Stonehedge Aquisition Chittenango I, Llc

SpecialtySpecializationLicenseLicense State
Skilled Nursing Facility 2629302NNew York

legacy-id-icon Legacy Provider IDs of Stonehedge Aquisition Chittenango I, Llc

Provider IdIssuer StateIssuer TypeIssuer
00356354New YorkMedicaid

official-icon Authorized Official of Stonehedge Aquisition Chittenango I, Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Stonehedge Aquisition Chittenango I, Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mr. Joseph Zupnick
Authorized Official Title/PositionMANAGING PARTNER
Authorized Official Phone Number845-357-7666