| NPI | 1013383264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCINDA MATTHEW Lpn 718-819-2882 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: NY 287016-1) |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2015-08-11 |