Provider Demographics
NPI:1073942751
Name:SOCIAL ADULT DAY CARE CENTERS OF NEW YORK, LLC
Entity Type:Organization
Organization Name:SOCIAL ADULT DAY CARE CENTERS OF NEW YORK, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RUSHIK
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-425-1993
Mailing Address - Street 1:12201 LIBERTY AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:SOUTH RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11419-2113
Mailing Address - Country:US
Mailing Address - Phone:347-425-1993
Mailing Address - Fax:347-293-0047
Practice Address - Street 1:13005 101ST AVE
Practice Address - Street 2:
Practice Address - City:SOUTH RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11419-1519
Practice Address - Country:US
Practice Address - Phone:347-425-1993
Practice Address - Fax:347-293-0047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-04
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care