| NPI | 1447248273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON M BARBACK Medical Records 718-448-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 7004314n) |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2012-02-10 |