| NPI | 1346791845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGNAZIO DIMINO Chief Physician Assistant, Dom 718-283-8137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: NY 020010-1) |
| Additional Taxonomies | 282NC0060X General Acute Care Hospital, Critical Access (Licence: NY 020010-1) |
| 363A00000X Physician Assistant (Licence: NY 020010-1) | |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |