Healthcare Provider Details

I. General information

NPI: 1457220865
Provider Name (Legal Business Name): NEW YORK SENIOR CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2025
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3003 79TH ST
EAST ELMHURST NY
11370-1509
US

IV. Provider business mailing address

3694 HORSEBLOCK RD
MEDFORD NY
11763-2208
US

V. Phone/Fax

Practice location:
  • Phone: 646-444-3646
  • Fax:
Mailing address:
  • Phone:
  • 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: LUTFA AKTAR
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 646-444-3646