NPI 1801566872

Shi-Iii Coram LLC

Organisation Alzheimer Center (Dementia Center) Coram, NY

Practice location

Address: 463 Middle Country Rd, Coram, NY 11727-3758
Phone: (631) 997-0010
Mailing address: Shi-Iii Coram, LLC C/O Kaplan Development Group 100 Jericho Quadrangle, Suite 142, Jericho, NY 11753

Authorised official

Name: Raymond Dioguardi
Title: Coo/Cfo
Phone: (516) 496-1505

Registered specialties

Alzheimer Center (Dementia Center) Primary

Nursing & Custodial Care Facilities Taxonomy 311500000X

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Registry record

NPI: 1801566872
Entity type: Organization
NPI issued: 20 Sep 2021
Record last updated: 20 Sep 2021

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.