| NPI | 1093868770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANISHA NICOLE MILLER Social Work Supervisor Ii 718-579-5657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: NY 072986) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |