| NPI | 1376916668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK DE LUCIA Deputy Exec. Dir. / CFO 718-852-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: NY 07645476) |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2015-11-09 |