| NPI | 1073889754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELY LUSARIA Nurse 718-842-2655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: NJ 22-528487) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2012-03-28 |