| NPI | 1245619121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE K. MILCENT Registered Nurse 917-671-8746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NY 668541-1) |
| Enumeration Date | 2015-05-25 |
| Last Update Date | 2015-05-25 |