Provider Demographics
NPI:1831462795
Name:KNESSET SOCIAL ADULT DAY CARE, INC.
Entity type:Organization
Organization Name:KNESSET SOCIAL ADULT DAY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:KISELEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-975-3322
Mailing Address - Street 1:128 BRIGHTON BEACH AVE STE 400A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-8086
Mailing Address - Country:US
Mailing Address - Phone:718-975-3322
Mailing Address - Fax:347-772-3663
Practice Address - Street 1:128 BRIGHTON BEACH AVE STE 400A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-8086
Practice Address - Country:US
Practice Address - Phone:917-570-2850
Practice Address - Fax:347-772-3663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-22
Last Update Date:2025-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care