| NPI | 1629339478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKIVA FOGEL FOGEL Administrator 631-724-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: NY 195281) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-06-07 |