| NPI | 1013934025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY REZNIK Administrator 718-621-1811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: NY 7001103R) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2015-08-20 |