Organization · Type 2 NPI

Phillipa Gill-Fulcher

Nursing Facility/Intermediate Care Facility · Queens Village, NY

NPI number 1104178540 Active

Practice location

22746 Murdock Ave
Queens Village, NY 11429-2731

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000X440703 (NY)

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

About NPI 1104178540

Phillipa Gill-Fulcher's National Provider Identifier is 1104178540, issued on Oct 10, 2012. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Queens Village, NY. The record was last updated on Oct 10, 2012.