Provider Demographics
NPI:1730452533
Name:NEW YORK ADULT DAY CARE CENTER CORP.
Entity type:Organization
Organization Name:NEW YORK ADULT DAY CARE CENTER CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JINHONG
Authorized Official - Middle Name:
Authorized Official - Last Name:KWON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-246-0909
Mailing Address - Street 1:13603 35TH AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-2925
Mailing Address - Country:US
Mailing Address - Phone:718-359-7878
Mailing Address - Fax:718-360-5691
Practice Address - Street 1:3514 150TH PL
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-4941
Practice Address - Country:US
Practice Address - Phone:718-888-1044
Practice Address - Fax:718-360-5691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-10
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care