Provider Demographics
NPI:1386195824
Name:MIDWOOD ADULT DAYCARE INC.
Entity Type:Organization
Organization Name:MIDWOOD ADULT DAYCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:AHSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUGHTAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-419-7787
Mailing Address - Street 1:1001 NEWKIRK AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-1417
Mailing Address - Country:US
Mailing Address - Phone:347-419-7787
Mailing Address - Fax:718-228-9404
Practice Address - Street 1:1001 NEWKIRK AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-1417
Practice Address - Country:US
Practice Address - Phone:347-419-7787
Practice Address - Fax:718-228-9404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care