| NPI | 1992063820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA B DONAII Lpn 631-576-7052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NY 267481-1) |
| Enumeration Date | 2012-04-29 |
| Last Update Date | 2012-04-29 |