Healthcare Provider Details

I. General information

NPI: 1043734916
Provider Name (Legal Business Name): SAFERADULTDAY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2017
Last Update Date: 08/01/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 BEACH 9TH ST
FAR ROCKAWAY NY
11691-5609
US

IV. Provider business mailing address

150 BEACH 9TH ST
FAR ROCKAWAY NY
11691-5609
US

V. Phone/Fax

Practice location:
  • Phone: 718-702-0487
  • Fax: 718-702-0487
Mailing address:
  • Phone: 718-702-0487
  • 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: MICHAEL JACOB SAFER
Title or Position: VICE PRESIDENT
Credential:
Phone: 516-382-7648