Provider Demographics
NPI:1255680120
Name:DOUBLEDAY BABCOCK SENIOR CENTER
Entity Type:Organization
Organization Name:DOUBLEDAY BABCOCK SENIOR CENTER
Other - Org Name:LIFE ENRICHMENT CENTER OYSTER BAY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SILVANA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAFERLITA-GULLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-922-1770
Mailing Address - Street 1:45 EAST MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:OYSTER BAY
Mailing Address - State:NY
Mailing Address - Zip Code:11771
Mailing Address - Country:US
Mailing Address - Phone:516-922-1770
Mailing Address - Fax:516-922-1788
Practice Address - Street 1:61 EAST MAIN STREET
Practice Address - Street 2:
Practice Address - City:OYSTER BAY
Practice Address - State:NY
Practice Address - Zip Code:11771
Practice Address - Country:US
Practice Address - Phone:516-558-7211
Practice Address - Fax:576-922-1788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-06
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable