| NPI | 1427488063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IBRAHIM A MUMUNI Licensed Pratical Nurse 347-301-1428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 316172) |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2013-11-18 |