NPI 1750477923
Broome County
Practice location
- Address
- 3700 Vestal Rd, Vestal, NY 13850-2229
- Phone
- (607) 763-4400
- Fax
- (607) 763-4442
- Mailing address
- 3700 Old Vestal Rd, Vestal, NY 13850-2229
Authorised official
- Name
- Stephanie Jerzak
- Title
- Deputy Administrator
- Phone
- (607) 763-4215
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1750477923
- Entity type
- Organization
- NPI issued
- 5 Oct 2006
- Record last updated
- 2 Jan 2026
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.