Dry Harbor HRF Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

7003359N Issued in NY

Legal business name

DRY HARBOR HRF INC

Practice address

6135 Dry Harbor Rd
Suite 284
Middle Village, NY 11379-1528

Phone

(718) 565-4200

Fax

(718) 505-7850

NPI assigned

Oct 15, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mayer Gutman

Title

Cfo

Phone

(718) 565-4200

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Dry Harbor HRF Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dry Harbor HRF Inc

  • Skilled Nursing Facility
  • Middle Village, NY
  • NPI 1467433664
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444867200000",
    "number": "1821469941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6135 DRY HARBOR RD",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113791528",
            "telephone_number": "718-565-4200",
            "fax_number": "718-505-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6135 DRY HARBOR RD",
            "address_2": "SUITE 284",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113791528",
            "telephone_number": "718-565-4200",
            "fax_number": "718-505-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRY HARBOR HRF INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-10-15",
        "status": "A",
        "authorized_official_last_name": "GUTMAN",
        "authorized_official_first_name": "MAYER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "718-565-4200"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "7003359N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02995751",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamal Alexis Downer, PHARM D
• Shengyi Julie Downer, PHARMD
• Dr Ganapathi Baskar Medical PC
• Annelise Elsa Dronneau, RN
• Dry Harbor HRF Inc
• Isabella Dudek, RN
• Catherine Dusovic, RPH
• Tara Elizabeth Echipare, MS, OTR/L
• Amir Edris
• Eliot Ave Med Supplies Corp

• Skilled Nursing Facility in Middle Village, NY
• Providers in Middle Village, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.