OrganizationActive
Salvador Deocampo Jr
NPI 1205197563 · Pediatric Skilled Nursing Facility · New York, NY
Provider details
- NPI number
- 1205197563
- Entity type
- Organization
- Primary specialty
- Pediatric Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Salvador Deocampo, Physical Therapist(347) 268-1299
- License
- 029243 (NY)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
4080 Broadway
New York, NY 10032-1542
Phone: (212) 928-0000
Approximate (ZIP-level) locationGet directions
Mailing address
8620 56th Ave
Elmhurst, NY 11373-4830
Registry dates
- Enumerated
- 2012-06-04
- Last updated
- 2012-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.