Provider Demographics
NPI:1932416765
Name:JAY Z NURSING CARE
Entity type:Organization
Organization Name:JAY Z NURSING CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:C
Authorized Official - Last Name:ZAVESKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-445-8217
Mailing Address - Street 1:60 CHAMPLIN AVE
Mailing Address - Street 2:
Mailing Address - City:BELLPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11713-2004
Mailing Address - Country:US
Mailing Address - Phone:631-445-8217
Mailing Address - Fax:
Practice Address - Street 1:60 CHAMPLAIN AVENUE
Practice Address - Street 2:
Practice Address - City:BELLPORT
Practice Address - State:NY
Practice Address - Zip Code:11713-2004
Practice Address - Country:US
Practice Address - Phone:631-445-8217
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-31
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY288689251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care