Provider Demographics
NPI:1548365331
Name:MS ACQUISITIONS 1
Entity type:Organization
Organization Name:MS ACQUISITIONS 1
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MOSHE
Authorized Official - Middle Name:
Authorized Official - Last Name:BAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-699-1600
Mailing Address - Street 1:10 CLAREMONT AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10550-1609
Mailing Address - Country:US
Mailing Address - Phone:914-699-1600
Mailing Address - Fax:914-699-1696
Practice Address - Street 1:10 CLAREMONT AVE
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10550-1609
Practice Address - Country:US
Practice Address - Phone:914-699-1600
Practice Address - Fax:914-699-1696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00308705Medicaid
NY335459Medicare ID - Type Unspecified