| NPI | 1194002121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE W WAGNER Chairman/ Senior Vice President 718-630-8356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2011-11-04 |