| NPI | 1255174330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON KASPER Manager 646-450-6051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2024-06-17 |