| NPI | 1316169949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILYA ISAAKOVICH FISHMAN Physician 718-644-6778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: NY 243397) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-07-18 |