Provider Demographics
NPI:1861771321
Name:GOLDEN PATH ADULT DAY HEALTH CARE INC.
Entity type:Organization
Organization Name:GOLDEN PATH ADULT DAY HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VIKTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:DUBINSKIY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-640-1122
Mailing Address - Street 1:50 CHARLES STREET
Mailing Address - Street 2:
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08901
Mailing Address - Country:US
Mailing Address - Phone:732-640-1122
Mailing Address - Fax:732-640-1118
Practice Address - Street 1:50 CHARLES ST
Practice Address - Street 2:
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901
Practice Address - Country:US
Practice Address - Phone:732-640-1122
Practice Address - Fax:732-640-1118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-15
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care