Provider Demographics
NPI:1730432634
Name:EZDAY ADULT DAYCARE, INC
Entity type:Organization
Organization Name:EZDAY ADULT DAYCARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:VASCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-277-4835
Mailing Address - Street 1:11714 QUEENS BLVD FL 2
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-7052
Mailing Address - Country:US
Mailing Address - Phone:718-257-2700
Mailing Address - Fax:
Practice Address - Street 1:620 EAST 102ND ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236
Practice Address - Country:US
Practice Address - Phone:718-257-2700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-17
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health