| NPI | 1104806454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY RESTAINO Executive Director 718-306-5642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 7001316N) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2024-09-13 |