Whalio Doctors

NPI 1669717427

Absolute Healthcare

Organisation Nursing Facility/Intermediate Care Facility Staten Island, NY

Practice location

Address
172 Lake Ave, Staten Island, NY 10303-2724
Phone
(646) 330-0896
Fax
(267) 393-8199

Authorised official

Name
Jude U Ifebi
Title
Licensed Practical Nurse
Phone
(646) 330-0896

Registered specialties

Nursing Facility/Intermediate Care Facility Primary
Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 296840 (NY)

Registry record

NPI
1669717427
Entity type
Organization
NPI issued
5 Dec 2012
Record last updated
5 Dec 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.