Provider Demographics
NPI:1760029276
Name:NUEVO SIGLO ADULT DAY CARE CENTER
Entity Type:Organization
Organization Name:NUEVO SIGLO ADULT DAY CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:VLADIMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:REZNIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-660-5896
Mailing Address - Street 1:213 SHERMAN AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10034-3314
Mailing Address - Country:US
Mailing Address - Phone:646-384-1006
Mailing Address - Fax:
Practice Address - Street 1:213 SHERMAN AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10034-3314
Practice Address - Country:US
Practice Address - Phone:646-384-1006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-03
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty