Provider Demographics
NPI:1104178383
Name:EZDAY ADULT DAY CARE
Entity Type:Organization
Organization Name:EZDAY ADULT DAY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:VASCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-277-4835
Mailing Address - Street 1:11714 QUEENS BLVD
Mailing Address - Street 2:2ND FL
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-7052
Mailing Address - Country:US
Mailing Address - Phone:718-575-8191
Mailing Address - Fax:718-575-8193
Practice Address - Street 1:11714 QUEENS BLVD
Practice Address - Street 2:2ND FL
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-7052
Practice Address - Country:US
Practice Address - Phone:718-575-8191
Practice Address - Fax:718-575-8193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-11
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty