| NPI | 1740066513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE NEUMAN Authorized Member 718-916-1443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2023-09-06 |