| NPI | 1689829160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN O'CONNOR Administrator 631-724-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: NY 5157313N) |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2008-11-25 |