| NPI | 1326125303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SREEDHAR KOMMINENI Attending 718-963-8496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 281P00000X Chronic Disease Hospital (Licence: NY 232312) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |