| NPI | 1902979651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYODEJI BODUNRIN FAYEMI Attending 718-579-5579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital, Critical Access (Licence: NY 119113) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |