| NPI | 1326422338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN MASUR Speech Language Pathologist 917-662-2487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 024697) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2015-07-20 |