Organization · Type 2 NPI
Gail Matheson
Pediatric Skilled Nursing Facility · Rosedale, NY
NPI number
1174896062
Active
Practice location
259-26 145th Ave
Rosedale, NY 11422
Mailing address
25926 145th Ave
Rosedale, NY 11422-3302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 215034 (NY) |
| Pediatric Skilled Nursing Facility Primary | 3140N1450X | 215034 (NY) |
Pediatric Skilled Nursing Facility: A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
About NPI 1174896062
Gail Matheson's National Provider Identifier is 1174896062, issued on Feb 23, 2012. The primary taxonomy on file is Pediatric Skilled Nursing Facility (3140N1450X), and the practice location is in Rosedale, NY. The record was last updated on May 21, 2020.