NPI | 1962552216 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN O'CONNOR Adminstrator 631-724-2200 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 5157313N) |
Enumeration Date | 2007-01-11 |
Last Update Date | 2018-03-09 |