| Kings Harbor Multicare Center | |
|
2000 E Gun Hill Rd Bronx NY 10469-6016 | |
| (718) 320-0400 | |
| Not Available |
| Full Name | Kings Harbor Multicare Center |
|---|---|
| Speciality | Skilled Nursing Facility |
| Location | 2000 E Gun Hill Rd, Bronx, New York |
| Authorized Official Name and Position | Alex Stern (ADMINISTRATOR) |
| Authorized Official Contact | 7183200400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kings Harbor Multicare Center 2000 E Gun Hill Rd Bronx NY 10469-6016 Ph: () - | Kings Harbor Multicare Center 2000 E Gun Hill Rd Bronx NY 10469-6016 Ph: (718) 320-0400 |
| NPI Number | 1952395626 |
|---|---|
| Provider Enumeration Date | 09/08/2005 |
| Last Update Date | 07/23/2014 |
| Medicare PECOS PAC ID | 4587555362 |
|---|---|
| Medicare Enrollment ID | O20040322001348 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952395626 | NPI | - | NPPES |
| 00310292 | Medicaid | NY |
| Provider Name | Liezel T Vince Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225237019 PECOS PAC ID: 4385813104 Enrollment ID: I20110812000391 |
| Provider Name | John B Pope |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669614863 PECOS PAC ID: 9931251436 Enrollment ID: I20160614000232 |
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