| 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 |