| NPI | 1356501753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE REBECCA SHILO Resident 917-575-4718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC2000X General Acute Care Hospital, Children (Licence: VA 0116018750) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: VA 0116018750) |
| 282NC0060X General Acute Care Hospital, Critical Access (Licence: VA 0116018750) | |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-06-10 |