Healthcare Provider Details

I. General information

NPI: 1447188099
Provider Name (Legal Business Name): FRIENDS ADULT DAY CARE MANAGEMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19903 32ND AVE
FLUSHING NY
11358-1205
US

IV. Provider business mailing address

19903 32ND AVE
FLUSHING NY
11358-1205
US

V. Phone/Fax

Practice location:
  • Phone: 646-233-4777
  • Fax:
Mailing address:
  • Phone:
  • 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: JINHEE MA
Title or Position: INTAKE MANAGER
Credential:
Phone: 718-791-5033