Healthcare Provider Details

I. General information

NPI: 1053239079
Provider Name (Legal Business Name): APNA SOCIAL ADULT DAYCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3140 CONEY ISLAND AVE STE 2
BROOKLYN NY
11235-6244
US

IV. Provider business mailing address

3140 CONEY ISLAND AVE STE 2
BROOKLYN NY
11235-6244
US

V. Phone/Fax

Practice location:
  • Phone: 347-627-9260
  • Fax: 347-627-9261
Mailing address:
  • Phone: 718-648-4300
  • Fax: 718-648-4305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SAFA BUTT
Title or Position: HEAD OF COMPLIANCE
Credential:
Phone: 347-935-0470