| NPI | 1861495202 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DEBORAH ANN FLACK Administrator 516-374-9300 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 2950315N) | 
| Additional Taxonomies | 376G00000X Nursing Home Administrator | 
| Enumeration Date | 2005-05-31 | 
| Last Update Date | 2018-04-06 |