| NPI | 1013219609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NILLIAN IVETTE COLON Lpn 585-351-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: NY 203956-1) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2010-12-02 |