MEDICARE: BARI ADULT DAY CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1265141022
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARI ADULT DAY CARE LLC

Provider Business Mailing Address
First Line	:	3716 73RD ST STE 401
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-6217
Country	:	US
Telephone Number	:	631-428-1901
Fax Number	:

Provider Business Practice Location Address
First Line	:	3716 73RD ST STE 401
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-6217
Country	:	US
Telephone Number	:	631-428-1901
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ASEF BARI
Credential	:
Telephone Number	:	631-428-1901

Provider Enumeration Date	:	11/21/2022
Last Update Date	:	11/21/2022

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