Provider Demographics
NPI:1356730642
Name:MT VERNON ADULT DAY CARE
Entity type:Organization
Organization Name:MT VERNON ADULT DAY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BEINHORN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-474-7967
Mailing Address - Street 1:22 E 1ST ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10550-3301
Mailing Address - Country:US
Mailing Address - Phone:917-474-7967
Mailing Address - Fax:888-371-3078
Practice Address - Street 1:505 8TH AVE
Practice Address - Street 2:STE 1402
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-6505
Practice Address - Country:US
Practice Address - Phone:646-416-6669
Practice Address - Fax:888-371-3078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-09
Last Update Date:2015-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care