| NPI | 1346694502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYLES EDWARD GOMBERT President 516-652-7647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 129224) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2017-03-27 |