MEDICARE: PENINSULA DAY CARE INC

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	:	1467893628
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PENINSULA DAY CARE INC

Provider Business Mailing Address
First Line	:	1815 85TH ST
Second Line	:	3 FL
City	:	BROOKLYN
State	:	NY
Zip	:	11214-3112
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1815 85TH ST
Second Line	:	3FL
City	:	BROOKLYN
State	:	NY
Zip	:	11214-3112
Country	:	US
Telephone Number	:	718-837-9588
Fax Number	:	718-837-9688

Authorized Official
Title or Position	:	PROGRAM DIRECTOR
Name	:	CHIN WAI SOR
Credential	:
Telephone Number	:	718-837-9588

Provider Enumeration Date	:	07/16/2013
Last Update Date	:	09/15/2025

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