Provider Demographics
NPI:1003299124
Name:DYNASTY SOCIAL ADULT DAY CENTER INC
Entity Type:Organization
Organization Name:DYNASTY SOCIAL ADULT DAY CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:YELENA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIGILOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-473-7025
Mailing Address - Street 1:3379 SHORE PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-3623
Mailing Address - Country:US
Mailing Address - Phone:877-324-2525
Mailing Address - Fax:877-407-9575
Practice Address - Street 1:3379 SHORE PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-3623
Practice Address - Country:US
Practice Address - Phone:877-324-2525
Practice Address - Fax:877-407-9575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-07
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care