| NPI | 1396742755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL BUSARI Administrator 347-332-3331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2025-03-05 |