Provider Demographics
NPI:1609518372
Name:3RD AVENUE SADC CORP
Entity Type:Organization
Organization Name:3RD AVENUE SADC CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHTEYNBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-255-7929
Mailing Address - Street 1:9 VANDERBILT CT
Mailing Address - Street 2:
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-4401
Mailing Address - Country:US
Mailing Address - Phone:646-255-7929
Mailing Address - Fax:
Practice Address - Street 1:2999 3RD AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10455-1224
Practice Address - Country:US
Practice Address - Phone:646-255-7929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-12
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care