| NPI | 1811936529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY DELLACERRA VP Managed Care & Revenue Complian 718-630-7103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273Y00000X Rehabilitation Unit (Licence: NY 7001019H) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2018-08-17 |