| NPI | 1790879146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA ELENA PEREZ Administrator 718-548-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 376G00000X Nursing Home Administrator (Licence: NY 04740) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2022-03-09 |