| NPI | 1558578914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLANDO M NEWLAND Regional Physician 718-840-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: PR 013181) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2010-02-14 |