| NPI | 1710527296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GALINA KLYACHMAN Administrator 646-662-8658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2021-07-15 |