Provider Demographics
NPI:1164731402
Name:ADLER SPECIAL CARE INC
Entity Type:Organization
Organization Name:ADLER SPECIAL CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HANTZ
Authorized Official - Middle Name:
Authorized Official - Last Name:MAXIME
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:347-886-8932
Mailing Address - Street 1:13818 228TH ST
Mailing Address - Street 2:
Mailing Address - City:LAURELTON
Mailing Address - State:NY
Mailing Address - Zip Code:11413-2843
Mailing Address - Country:US
Mailing Address - Phone:347-886-8932
Mailing Address - Fax:
Practice Address - Street 1:138-18 228 STREET
Practice Address - Street 2:
Practice Address - City:LAURELTON
Practice Address - State:NY
Practice Address - Zip Code:11413
Practice Address - Country:US
Practice Address - Phone:347-886-8932
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-05
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization