Healthcare Provider Details

I. General information

NPI: 1417423328
Provider Name (Legal Business Name): FLUSHING SOCIAL ADULT CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2018
Last Update Date: 10/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13235 41ST RD APT 2B
FLUSHING NY
11355-4115
US

IV. Provider business mailing address

PO BOX 541637
FLUSHING NY
11354-7637
US

V. Phone/Fax

Practice location:
  • Phone: 347-542-4643
  • Fax: 347-542-4644
Mailing address:
  • Phone: 718-767-2855
  • Fax: 718-767-2855

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: JIAN ZHU
Title or Position: SECRETARY
Credential:
Phone: 718-767-2855