Provider Demographics
NPI:1518690080
Name:SUFI SOCIAL ADULT DAY CARE INC
Entity Type:Organization
Organization Name:SUFI SOCIAL ADULT DAY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:BADEN
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-925-8914
Mailing Address - Street 1:1 HELEN KELLER WAY
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-3980
Mailing Address - Country:US
Mailing Address - Phone:631-533-7160
Mailing Address - Fax:631-533-7161
Practice Address - Street 1:1 HELEN KELLER WAY
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-3980
Practice Address - Country:US
Practice Address - Phone:631-533-7160
Practice Address - Fax:631-533-7161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-02
Last Update Date:2022-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care