| NPI | 1790920734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY FOMBERSTEIN Program Director 718-920-9168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital, Critical Access |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2008-12-04 |