| NPI | 1043372469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA CLAUDIO-MORALES Physician Assistant 631-715-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NM 001627) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2008-08-12 |