Provider Demographics
NPI:1922728856
Name:NEW ADULT DAYCAR CORP
Entity Type:Organization
Organization Name:NEW ADULT DAYCAR CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KYOUNG
Authorized Official - Middle Name:SOOK
Authorized Official - Last Name:JEONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-225-4073
Mailing Address - Street 1:16018 NORTHERN BLVD FL 2
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11358-1672
Mailing Address - Country:US
Mailing Address - Phone:718-799-0760
Mailing Address - Fax:718-750-0111
Practice Address - Street 1:16018 NORTHERN BLVD FL 2
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11358-1672
Practice Address - Country:US
Practice Address - Phone:718-799-0760
Practice Address - Fax:718-750-0111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-31
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care