| NPI | 1023693181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH LIEBERMAN Director Of Financial Operations 646-275-4510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2021-03-10 |