Provider Demographics
NPI:1437929635
Name:MURSHID SOCIAL ADULT DAY CARE INC
Entity Type:Organization
Organization Name:MURSHID SOCIAL ADULT DAY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:IBRAHIM
Authorized Official - Middle Name:
Authorized Official - Last Name:MUBUSAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-293-4579
Mailing Address - Street 1:614 RICHMOND RD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10304-2410
Mailing Address - Country:US
Mailing Address - Phone:929-293-4579
Mailing Address - Fax:
Practice Address - Street 1:3029 AVENUE V
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-5448
Practice Address - Country:US
Practice Address - Phone:347-254-6261
Practice Address - Fax:347-254-6445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home