NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1174942213 |   |   |   | RABBAT EXTENDED MANAGEMENT LLC | 18 SHRUB HOLLOW RD | ROSLYN | NY | 115763108 |
1548253313 |   |   |   | QUEENS BOULEVARD EXTENDED CARE FACILITY | 6111 QUEENS BLVD | WOODSIDE | NY | 113774965 |
1619539996 |   |   |   | QUEENS BOULEVARD EXTENDED CARE FACILITY DIALYSIS CENTER LLC | 6111 QUEENS BLVD | WOODSIDE | NY | 113774965 |
1972926681 |   |   |   | QUEENS BOULEVARD EXTENDED CARE FACILITY MANAGEMENT LLC | 6111 QUEENS BLVD | WOODSIDE | NY | 113774965 |
1043762800 | LIM | MIOK |   |   | 150 EILEEN WAY UNIT 1 | SYOSSET | NY | 117915313 |