| NPI | 1417231135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA GUSSACK Director 914-421-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY F000109) |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2011-09-29 |