| NPI | 1871033985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUKHREET M E BIBBS Licensed Practical Nurse 315-294-4558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: NY 328064) |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2017-03-08 |