Provider Demographics
NPI:1215583406
Name:PASSION FOR SENIORS OF NY INC
Entity Type:Organization
Organization Name:PASSION FOR SENIORS OF NY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:REEMA
Authorized Official - Middle Name:
Authorized Official - Last Name:NIROLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-850-3400
Mailing Address - Street 1:11940 METROPOLITAN AVE STE 107
Mailing Address - Street 2:
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-2600
Mailing Address - Country:US
Mailing Address - Phone:718-850-3400
Mailing Address - Fax:718-850-9300
Practice Address - Street 1:11940 METROPOLITAN AVE STE 107
Practice Address - Street 2:
Practice Address - City:KEW GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11415-2600
Practice Address - Country:US
Practice Address - Phone:718-850-3400
Practice Address - Fax:718-850-9300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-13
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health