| NPI | 1164451316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN REAGAN Administrator 718-345-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 7001364N) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2020-08-22 |