Healthcare Provider Details

I. General information

NPI: 1992112098
Provider Name (Legal Business Name): CP ADULT SOCIAL DAY CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2014
Last Update Date: 07/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7020 AUSTIN ST SUITE 135
FOREST HILLS NY
11375-4775
US

IV. Provider business mailing address

7020 AUSTIN ST SUITE 135
FOREST HILLS NY
11375-4775
US

V. Phone/Fax

Practice location:
  • Phone: 718-897-2273
  • Fax: 347-497-7701
Mailing address:
  • Phone: 718-897-2273
  • Fax: 347-497-7701

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. MIRIAM STERNBERG
Title or Position: PRESIDENT
Credential: RN
Phone: 718-897-2273