| NPI | 1376083378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IDOWU MEDINA MORAFA Staff Nurse 718-705-2873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: NY 709865) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: NY 709865) |
| 282NC0060X General Acute Care Hospital, Critical Access (Licence: NY 709865) | |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2017-02-24 |