| NPI | 1255513826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN THOMAS MASTRIANNI D.O. 718-232-9822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 183073) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2007-12-05 |