| NPI | 1457435877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUBA SERVIL Office Manager 718-654-5875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 7000370N) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2011-10-25 |