| NPI | 1184614398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEDALIA KLEIN Administrator 845-352-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 4353301n) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2020-02-05 |