Healthcare Provider Details

I. General information

NPI: 1588431019
Provider Name (Legal Business Name): KANORS SENIOR CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2023
Last Update Date: 12/05/2023
Certification Date: 12/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

284 GLEN ST
GLEN COVE NY
11542-4198
US

IV. Provider business mailing address

284 GLEN ST
GLEN COVE NY
11542-4198
US

V. Phone/Fax

Practice location:
  • Phone: 917-291-8296
  • Fax:
Mailing address:
  • Phone: 917-291-8296
  • 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: MR. JALARIA AHMED
Title or Position: PRESIDENT
Credential:
Phone: 917-291-8296