| NPI | 1750656021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA ANDRES DAULO Staff Nurse 718-429-7006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 443418-1) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: NY 443418-1) |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2012-03-19 |