| NPI | 1639167935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARON FEUEREISEN Administrator 718-327-2909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 7003315N) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2008-06-20 |