Healthcare Provider Details

I. General information

NPI: 1619357944
Provider Name (Legal Business Name): JOYFUL DAY CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2015
Last Update Date: 06/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13939 35TH AVE CF-A
FLUSHING NY
11354-3500
US

IV. Provider business mailing address

13939 35TH AVE CF-A
FLUSHING NY
11354-3500
US

V. Phone/Fax

Practice location:
  • Phone: 917-285-2202
  • Fax: 917-285-2342
Mailing address:
  • Phone: 917-285-2202
  • Fax: 917-285-2342

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: KELLY TENG
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 347-828-1550