OrganizationActive
Dept of Education
NPI 1073889754 · Pediatric Skilled Nursing Facility · Bronx, NY
Provider details
- NPI number
- 1073889754
- Entity type
- Organization
- Primary specialty
- Pediatric Skilled Nursing FacilityNursing & Custodial Care Facilities
- Authorized official
- Cely Lusaria, Nurse
- License
- 22-528487 (NJ)
Practice location
1535 Story Ave
School
Bronx, NY 10473-4555
Phone: (718) 842-2655
Fax: (718) 328-5506
Mailing address
139 Kimball Terrence
Yonkers, NY 10704
Registry dates
- Enumerated
- 2012-03-28
- Last updated
- 2012-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.