Provider Demographics
NPI:1689912982
Name:MARGELIZ CENTER ADULT DAY PROGRAM, LLC
Entity Type:Organization
Organization Name:MARGELIZ CENTER ADULT DAY PROGRAM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZELAZOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L, MS
Authorized Official - Phone:845-531-7716
Mailing Address - Street 1:334 ROUTE 202
Mailing Address - Street 2:
Mailing Address - City:SOMERS
Mailing Address - State:NY
Mailing Address - Zip Code:10589-3207
Mailing Address - Country:US
Mailing Address - Phone:914-276-7601
Mailing Address - Fax:914-276-7604
Practice Address - Street 1:334 ROUTE 202
Practice Address - Street 2:
Practice Address - City:SOMERS
Practice Address - State:NY
Practice Address - Zip Code:10589-3207
Practice Address - Country:US
Practice Address - Phone:914-276-7601
Practice Address - Fax:914-276-7604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-21
Last Update Date:2013-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care