| NPI | 1447593702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANU KHAN Administrator 917-881-1420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2013-04-04 |