Healthcare Provider Details

I. General information

NPI: 1265141022
Provider Name (Legal Business Name): BARI ADULT DAY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2022
Last Update Date: 11/21/2022
Certification Date: 11/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3716 73RD ST STE 401
JACKSON HEIGHTS NY
11372-6217
US

IV. Provider business mailing address

3716 73RD ST STE 401
JACKSON HEIGHTS NY
11372-6217
US

V. Phone/Fax

Practice location:
  • Phone: 631-428-1901
  • Fax:
Mailing address:
  • Phone: 631-428-1901
  • 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: ASEF BARI
Title or Position: CEO
Credential:
Phone: 631-428-1901