| NPI | 1639221658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAVITA D RAMDASS Billing Manager 718-581-1712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 01023156) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |