Healthcare Provider Details

I. General information

NPI: 1730452533
Provider Name (Legal Business Name): NEW YORK ADULT DAY CARE CENTER CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2012
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3514 150TH PL
FLUSHING NY
11354-4941
US

IV. Provider business mailing address

3514 150TH PL FL 1
FLUSHING NY
11354-4941
US

V. Phone/Fax

Practice location:
  • Phone: 718-888-1044
  • Fax: 718-360-5691
Mailing address:
  • Phone: 718-359-7878
  • Fax: 718-360-5691

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: MR. JINHONG KWON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 917-246-0909