| NPI | 1114080546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET HERRON Manager 718-281-8799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: NY 700330N) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |