Organization
DEPT OF EDUCATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CELY LUSARIA RN (NURSE)
(718) 842-2655
Entity
Organization
Contact information
Practice address
1535 STORY AVE, SCHOOL, BRONX, NY 10473-4555
(718) 842-2655
(718) 328-5506
Mailing address
139 KIMBALL TERRENCE, HOUSE, YONKERS, NY 10704
(718) 842-2655
(718) 328-5506
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
22-528487
NJ
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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