LP
LTC PROVIDER MANAGEMENT CORP
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
PORT WASHINGTON, NY
Licensed since
2016
Rate
—
Federal identifiers
NPI registry number1346694502
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameMYLES GOMBERT
TitlePRESIDENT
Phone5166527647
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Source: NPI Registry · Last refreshed June 24, 2026