Healthcare Provider Details

I. General information

NPI: 1588042824
Provider Name (Legal Business Name): DYKER SENIOR CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2015
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6713 11TH AVE
BROOKLYN NY
11219-5904
US

IV. Provider business mailing address

6713 11TH AVE
BROOKLYN NY
11219-6381
US

V. Phone/Fax

Practice location:
  • Phone: 718-331-8388
  • Fax: 718-331-8338
Mailing address:
  • Phone: 718-331-8388
  • Fax: 718-331-8338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251T00000X
TaxonomyPACE Provider Organization
License Number4570739
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: WEI GUO
Title or Position: OWNER
Credential:
Phone: 917-288-9878