NPI 1639806490

Mariners Residence INC.

Organisation Adult Care Home Facility Staten Island, NY

Practice location

Address: 2099 Forest Ave, Staten Island, NY 10303-2239
Phone: (917) 544-4713

Authorised official

Name: Avi Lustig
Title: Owner
Phone: (917) 544-4713

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

Other Custodial Care Facility providers in New York →

Registry record

NPI: 1639806490
Entity type: Organization
NPI issued: 2 Aug 2022
Record last updated: 22 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.