| NPI | 1083837157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELIA M CANNATA Billing Manager 718-281-8877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Additional Taxonomies | 251E00000X Home Health (Licence: NY 7003901L) |
| 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-10-06 |