| NPI | 1992772560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA GUY-MOSES Nurse Practicitoner 718-613-8110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: NY F304090) |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2020-08-22 |