Self Employed
Skilled Nursing Facility · Mastic Beach, NY
Practice location
74 Mill DrMastic Beach, NY 11951-1403
- Phone
- (631) 599-8372
NPI record
- NPI
- 1033582291
- Entity type
- Organization (Type 2)
- Enumeration date
- November 9, 2015
- Last updated
- November 9, 2015
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X |
705976-1 | NY |
Mailing address
67 Radburn DrFarmingville, NY 11738-1046
Authorized official
- Name
- Ms. Kaitlyn Symancyk
- Title
- Registered Nurse
- Phone
- (631) 235-8057
About Self Employed
Self Employed is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 74 Mill Dr, Mastic Beach, NY 11951-1403. The NPI number 1033582291 was assigned on November 9, 2015 and the record was last updated on November 9, 2015.
Self Employed lists a license in the registry: #705976-1 (NY) for Skilled Nursing Facility. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Ms. Kaitlyn Symancyk, Registered Nurse.
Frequently asked questions
What is the NPI number of Self Employed?
The NPI number is 1033582291.
What is the phone number of Self Employed?
The phone number listed for the practice location is (631) 599-8372.
Where is Self Employed located?
74 Mill Dr, Mastic Beach, NY 11951-1403.
What is the taxonomy code for Self Employed?
The primary taxonomy code is 314000000X – Skilled Nursing Facility.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.