| NPI | 1114318425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAMIRA M HERCZ RN 516-322-5119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: NY 676076) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2015-02-09 |