| NPI | 1750647210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE TRAVERS Director Of Nursing 347-396-4717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NY 351264) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2012-04-09 |