| NPI | 1659317741 |
|---|---|
| Doing Business As | LONG ISLAND STATE VETERANS HOME |
| Entity Type | Organization |
| Authorized Contact | PAT D ROCCO CFO 631-444-8646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 021131) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2018-04-03 |