| NPI | 1447505524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY THERESA CINTORINO Staff Nurse 201-914-2016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: NY 481196-1) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2012-07-16 |