EB Care at Farmingville LLC dba The Bristal at Holtsville
PFI: Z672 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mohammud M Alam, M.D. Phone: (631) 732-2300 Fax: (631) 307-9680 Address: 5535 Expressway Dr, Holtsville, NY 11742 County: Suffolk Country: United States Single or Primary Contact: Christina Clark Contact Phone: (631) 828-3606 CLIA #: 33D2205492
EB Care at Massapequa LLC dba The Bristal at Massapequa
PFI: Z673 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mohammud M Alam, M.D. Phone: (516) 804-7200 Fax: (516) 804-7204 Address: 400 County Line Rd, Massapequa, NY 11758 County: Nassau Country: United States Single or Primary Contact: Jennifer Amarante Contact Phone: (516) 804-7396 CLIA #: 33D2205495
EB Care at Lake Success LLC dba The Bristal at Lake Success
PFI: Z676 Secondary Site ID: 0000 Certification Type: WAIVER Director: Farzin Sehati, D.O. Phone: (516) 600-1800 Fax: (516) 600-1900 Address: 69 N Service Rd, Lake Success, NY 11020 County: Nassau Country: United States Single or Primary Contact: Miguel Moronta Contact Phone: (516) 600-1850 CLIA #: 33D2205501
Engel Burman Sr Housing at North Hills Inc dba Bristal at North Hills
PFI: Z680 Secondary Site ID: 0000 Certification Type: WAIVER Director: Farzin Sehati, D.O. Phone: (516) 869-1300 Fax: (516) 233-3300 Address: 99 S Service Rd, North Hills, NY 11040 County: Nassau Country: United States Single or Primary Contact: Janani Subramanaim Contact Phone: (516) 233-3143 CLIA #: 33D2205568
Westbury Senior Living Inc dba The Bristal at Westbury
PFI: Z684 Secondary Site ID: 0000 Certification Type: WAIVER Director: Farzin Sehati, D.O. Phone: (516) 333-9828 Fax: (516) 333-0134 Address: 117 Post Ave, Westbury, NY 11590 County: Nassau Country: United States Single or Primary Contact: Olga Loi Contact Phone: (516) 918-4012 CLIA #: 33D2205587
Lake Grove Senior Care LLC dba The Bristal at Lake Grove
PFI: Z686 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mohammud M Alam, M.D. Phone: (631) 676-7580 Fax: (631) 676-7581 Address: 2995 Middle County Rd, Lake Grove, NY 11755 County: Suffolk Country: United States Single or Primary Contact: Denise Rinaldi Contact Phone: (631) 828-3501 CLIA #: 33D2205594
PFI: Z690 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael H Kueker, M.D. Phone: (716) 893-1010 Fax: (716) 893-1002 Address: 40 La Riviere Dr - Suite 201, Buffalo, NY 14202 County: Erie Country: United States Single or Primary Contact: Allyson Willett Contact Phone: (716) 893-1010 CLIA #: 33D2205619