Healthcare Provider Details

I. General information

NPI: 1417477514
Provider Name (Legal Business Name): DYKER HEIGHTS ADULT DAYCARE CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2017
Last Update Date: 05/10/2023
Certification Date: 05/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6602 11TH AVE
BROOKLYN NY
11219-5901
US

IV. Provider business mailing address

6602 11TH AVE
BROOKLYN NY
11219-5901
US

V. Phone/Fax

Practice location:
  • Phone: 718-238-3869
  • Fax: 718-745-1046
Mailing address:
  • Phone: 718-238-3869
  • Fax: 718-745-1046

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: WEIQIANG FENG
Title or Position: PRESIDENT
Credential:
Phone: 718-238-3869