Healthcare Provider Details

I. General information

NPI: 1669045894
Provider Name (Legal Business Name): BOROUGH ADULT DAY CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2021
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15813 72ND AVE
FLUSHING NY
11365-1140
US

IV. Provider business mailing address

62 CHAPEL HILL DR
BRENTWOOD NY
11717-1922
US

V. Phone/Fax

Practice location:
  • Phone: 718-496-1111
  • Fax:
Mailing address:
  • Phone: 518-625-3444
  • Fax: 518-625-3443

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: MRS. CHUN XIA JIANG
Title or Position: PRESIDENT
Credential:
Phone: 518-625-3444