| NPI | 1790980803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE WOLNIAK Registered Nurse 315-622-4055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric (Licence: NY 407331-1) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2008-06-13 |