D
D0E
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
ELMHURST, NY
Licensed since
2012
Rate
—
Federal identifiers
NPI registry number1750656021
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameMARIA DAULO
TitleSTAFF NURSE
Phone7184297006
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Source: NPI Registry · Last refreshed June 24, 2026