Healthcare Provider Details

I. General information

NPI: 1447011390
Provider Name (Legal Business Name): HYOSIM ADULT DAYCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2024
Last Update Date: 01/18/2024
Certification Date: 01/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3520 147TH ST FL 2
FLUSHING NY
11354-3765
US

IV. Provider business mailing address

3520 147TH ST FL 2
FLUSHING NY
11354-3765
US

V. Phone/Fax

Practice location:
  • Phone: 929-614-1370
  • Fax: 347-506-0087
Mailing address:
  • Phone: 929-614-1370
  • Fax: 347-506-0087

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: CARL SIM
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 929-614-1370