| NPI | 1427647569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN FRUCHTER Owner/Director 516-672-2621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2021-01-13 |