| NPI | 1023382090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA NANDAN Principal 718-498-6560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NY 22416773) |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2012-03-08 |