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Salvador Deocampo Jr
Pediatric Skilled Nursing Facility in New York, New York
NPI 1205197563

Salvador Deocampo Jr is a Pediatric Skilled Nursing Facility based in Elmhurst, NY and is specialized in Nursing Care, Pediatric. Salvador Deocampo Jr practices in New York, NY. The NPI Number for Salvador Deocampo Jr is 1205197563 and holds a License No. 029243 (New York).

The current practice location address for Salvador Deocampo Jr is 4080 Broadway, New York, NY and can be reached out via phone at 212-928-0000.

Location: 4080 Broadway, New York, NY, 11373-4830
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205197563
Provider Name
Salvador Deocampo Jr
Credential
Provider Entity Type
Organization
Address
4080 Broadway, New York, NY, 11373-4830
Phone Number
212-928-0000
Fax Number
Provider Enumeration Date
06/04/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4080 Broadway
City
New York
State
New York
Zip
10032-1542
Phone Number
212-928-0000
Fax Number
person
Provider Business Mailing Address Details
Address
4080 Broadway
City
New York
State
New York
Zip
10032-1542
Phone Number
212-928-0000
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
Nursing Care, Pediatric
Taxonomy
3140N1450X
License No.
029243 (New York)
Definition
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
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