| NPI | 1376901298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCEL KAGANOVSKAYA Nurse Practitioner 646-404-0710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: NY 340371) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: NY 340371) |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NY 340371) | |
| Enumeration Date | 2016-02-06 |
| Last Update Date | 2016-02-06 |