| NPI | 1275932550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRABHU KUMAR Registered Nurse 347-592-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric (Licence: NY 649119) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: NY 649119) |
| 273Y00000X Rehabilitation Unit (Licence: NY 649119) | |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-08-22 |