NPI | 1487868162 |
---|---|
Entity Type | Organization |
Authorized Contact | SONIA A GORDON Business Office Manager 718-558-9696 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NY 009683) |
Enumeration Date | 2007-05-10 |
Last Update Date | 2008-06-25 |