| NPI | 1427412758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS LETTERESE Otr/L 845-893-2459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 019471-1) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-04-12 |