Provider Demographics
NPI:1215934005
Name:NEW YORK HEALTH CARE INC
Entity type:Organization
Organization Name:NEW YORK HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MURRY
Authorized Official - Middle Name:
Authorized Official - Last Name:ENGLARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-375-6700
Mailing Address - Street 1:33 WEST HAWTHORNE AVENUE
Mailing Address - Street 2:SUITE 31
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580
Mailing Address - Country:US
Mailing Address - Phone:718-375-6700
Mailing Address - Fax:718-375-1555
Practice Address - Street 1:33 W HAWTHORNE AVE STE 31
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-6207
Practice Address - Country:US
Practice Address - Phone:718-375-6700
Practice Address - Fax:718-375-1555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0604L005251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00888362Medicaid
NY01069272Medicaid
NY01821672Medicaid