Healthcare Provider Details

I. General information

NPI: 1992519961
Provider Name (Legal Business Name): ARISE COMMUNITY CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2025
Last Update Date: 02/01/2025
Certification Date: 02/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

574 E MEADOW AVE
EAST MEADOW NY
11554-5032
US

IV. Provider business mailing address

833 MEADOW RD
SMITHTOWN NY
11787-1644
US

V. Phone/Fax

Practice location:
  • Phone: 929-398-9855
  • Fax:
Mailing address:
  • Phone: 929-398-9855
  • 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: GAURANG JOSHI
Title or Position: DIRECTOR OF OPERATION
Credential:
Phone: 646-398-9855