Provider Demographics
NPI:1689113094
Name:ELITE SERVICES NY, INC.
Entity Type:Organization
Organization Name:ELITE SERVICES NY, INC.
Other - Org Name:BROADWAY HEALTH CARE STAFFING, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:HADASSAH
Authorized Official - Middle Name:
Authorized Official - Last Name:DUBINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-219-0775
Mailing Address - Street 1:48 BAKERTOWN ROAD SUITE 204
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NY
Mailing Address - Zip Code:10950
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:607 MARCY AVENUE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206
Practice Address - Country:US
Practice Address - Phone:914-219-0775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-17
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health