Provider Demographics
NPI:1679441539
Name:GOLDEN AGE OF BROOKLYN, LLC
Entity type:Organization
Organization Name:GOLDEN AGE OF BROOKLYN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GANZ
Authorized Official - Suffix:
Authorized Official - Credentials:SOCIAL ADULT DAYCARE
Authorized Official - Phone:718-272-2400
Mailing Address - Street 1:2341 HOFFMAN ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10458-8002
Mailing Address - Country:US
Mailing Address - Phone:212-540-4243
Mailing Address - Fax:718-272-2410
Practice Address - Street 1:2341 HOFFMAN ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458-8002
Practice Address - Country:US
Practice Address - Phone:212-540-4243
Practice Address - Fax:718-272-2410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-23
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care