Organization
UNIVERSAL HEALTHCARE SYSTEM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KAYTANA MONIQE JOHNSON (REGISTERED NURSE)
(917) 557-4477
Entity
Organization
Contact information
Practice address
4328 MATILDA AVE, BRONX, NY 10466-1315
(917) 557-4477
Mailing address
4328 MATILDA AVE, BRONX, NY 10466-1315
(917) 557-4477
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
596963
NY
Other
Enumeration date
10/02/2009
Last updated
10/02/2009
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