| 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 |