Healthcare Provider Details

I. General information

NPI: 1417828906
Provider Name (Legal Business Name): BEAUTIFUL PALACE SOCIAL AD DAYCARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2025
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4317 UNION ST
FLUSHING NY
11355-3007
US

IV. Provider business mailing address

4317 UNION ST
FLUSHING NY
11355-3007
US

V. Phone/Fax

Practice location:
  • Phone: 718-799-0658
  • Fax: 718-799-0659
Mailing address:
  • Phone: 718-799-0658
  • Fax: 718-799-0659

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: LI CHEN
Title or Position: DIRECTOR
Credential:
Phone: 718-799-0658