Healthcare Provider Details

I. General information

NPI: 1740157726
Provider Name (Legal Business Name): CITY VIEW ADULT DAY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2025
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

341 NOSTRAND AVE
BROOKLYN NY
11216-6267
US

IV. Provider business mailing address

6085 MYRTLE AVE
RIDGEWOOD NY
11385-5908
US

V. Phone/Fax

Practice location:
  • Phone: 718-873-1428
  • Fax:
Mailing address:
  • Phone: 718-873-1428
  • 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: LYNN PHAM
Title or Position: DIRECTOR
Credential:
Phone: 917-304-8015