NPI 1912275942

Detox

Organisation Nursing Facility/Intermediate Care Facility Staten Island, NY

Practice location

Address: 214 Charles Ave, Staten Island, NY 10302-1122
Phone: (347) 401-4659

Authorised official

Name: Jaime Velez
Title: Lpn
Phone: (347) 401-4659

Registered specialties

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 299428-1 (NY)

Other Nursing Facility/Intermediate Care Facility providers in New York →

Registry record

NPI: 1912275942
Entity type: Organization
NPI issued: 5 Dec 2011
Record last updated: 5 Dec 2011

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.