NPI | 1003447012 |
---|---|
Other Name | BERNARD FINESON DDSO |
Entity Type | Organization |
Authorized Contact | EARL RAYMOND JEFFERSON Director Of Central Operations 518-402-4333 |
Organization Subpart ? | Yes |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
Enumeration Date | 2020-01-29 |
Last Update Date | 2020-01-29 |