| NPI | 1992104657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PASQUALE DEBENEDICTIS Manager / Member 516-422-7818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-08-19 |