Healthcare Provider Details

I. General information

NPI: 1861771321
Provider Name (Legal Business Name): GOLDEN PATH ADULT DAY HEALTH CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2011
Last Update Date: 08/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 CHARLES ST
NEW BRUNSWICK NJ
08901
US

IV. Provider business mailing address

50 CHARLES STREET
NEW BRUNSWICK NJ
08901
US

V. Phone/Fax

Practice location:
  • Phone: 732-640-1122
  • Fax: 732-640-1118
Mailing address:
  • Phone: 732-640-1122
  • Fax: 732-640-1118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateNJ

VIII. Authorized Official

Name: VIKTOR DUBINSKIY
Title or Position: ADMINISTRATOR
Credential:
Phone: 732-640-1122