NPI | 1407901119 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY LIEBERMAN Administrator 718-789-6262 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 7001386N) |
Enumeration Date | 2007-01-24 |
Last Update Date | 2020-08-22 |