Provider Demographics
NPI:1437341138
Name:SUNNYSIDE COMMUNITY SERVICES, INC.
Entity Type:Organization
Organization Name:SUNNYSIDE COMMUNITY SERVICES, INC.
Other - Org Name:SUNNYSIDE SOCIAL ADULT DAY SVC
Other - Org Type:Other Name
Authorized Official - Title/Position:ASSOCIATE EXECUTIVE DIRECTOR FOR CO
Authorized Official - Prefix:
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-784-6173
Mailing Address - Street 1:4331 39TH ST
Mailing Address - Street 2:
Mailing Address - City:SUNNYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11104-4351
Mailing Address - Country:US
Mailing Address - Phone:718-784-6173
Mailing Address - Fax:
Practice Address - Street 1:4331 39TH ST
Practice Address - Street 2:
Practice Address - City:SUNNYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11104-4351
Practice Address - Country:US
Practice Address - Phone:718-784-6173
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-16
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care