Healthcare Provider Details

I. General information

NPI: 1457746653
Provider Name (Legal Business Name): SENIOR D.C. MANAGEMENT USA CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2015
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14130 NORTHERN BLVD FL 2
FLUSHING NY
11354-4239
US

IV. Provider business mailing address

14130 NORTHERN BLVD FL 2
FLUSHING NY
11354-4239
US

V. Phone/Fax

Practice location:
  • Phone: 718-460-1777
  • Fax: 718-770-7696
Mailing address:
  • Phone: 718-460-1777
  • Fax: 718-770-7696

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: JAY LEE
Title or Position: OWNER
Credential:
Phone: 718-460-1777