| NPI | 1225258452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MARIE PERITO Physician Assistant 917-613-4350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 281P00000X Chronic Disease Hospital (Licence: NY 010910) |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2020-08-22 |