Provider Demographics
NPI:1518388966
Name:FU LE ELDERLY CENTER INC
Entity Type:Organization
Organization Name:FU LE ELDERLY CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GUANGHAO
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-431-9888
Mailing Address - Street 1:90 ELDRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-5219
Mailing Address - Country:US
Mailing Address - Phone:212-431-9888
Mailing Address - Fax:212-431-9887
Practice Address - Street 1:90 ELDRIDGE ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-5219
Practice Address - Country:US
Practice Address - Phone:212-431-9888
Practice Address - Fax:212-431-9887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-01
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
$$$$$$$$$OtherSSN: 074829531
NYEINOtherSSN:
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