| NPI | 1205197563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALVADOR DARIARTE DEOCAMPO Physical Therapist 347-268-1299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: NY 029243) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2012-06-04 |