Healthcare Provider Details

I. General information

NPI: 1245163575
Provider Name (Legal Business Name): SEPHARDIC ADULT CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

1960 E 7TH ST
BROOKLYN NY
11223-3157
US

IV. Provider business mailing address

1960 E 7TH ST
BROOKLYN NY
11223-3157
US

V. Phone/Fax

Practice location:
  • Phone: 917-359-2111
  • Fax:
Mailing address:
  • Phone: 917-359-2111
  • Fax:

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: FLORA LAX
Title or Position: CO-OWNER
Credential:
Phone: 917-359-2111