Healthcare Provider Details

I. General information

NPI: 1033817705
Provider Name (Legal Business Name): JAMAICA SENIOR CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2023
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17227 HILLSIDE AVE
JAMAICA NY
11432-4643
US

IV. Provider business mailing address

5030 65TH PL
WOODSIDE NY
11377-5817
US

V. Phone/Fax

Practice location:
  • Phone: 718-750-3356
  • Fax: 718-691-5110
Mailing address:
  • Phone: 718-750-3356
  • Fax: 718-691-5110

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: SHAHRIAR RAHMAN
Title or Position: PRESIDENT
Credential:
Phone: 718-750-3356