Healthcare Provider Details

I. General information

NPI: 1972465722
Provider Name (Legal Business Name): DAZHONG ADULT DAY CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13680 41ST AVE STE 2C
FLUSHING NY
11355-2486
US

IV. Provider business mailing address

13680 41ST AVE STE 2C
FLUSHING NY
11355-2486
US

V. Phone/Fax

Practice location:
  • Phone: 347-368-0047
  • Fax:
Mailing address:
  • Phone: 347-368-0047
  • 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: SUDAN WANG
Title or Position: DIRECTOR
Credential:
Phone: 917-402-2633