Healthcare Provider Details

I. General information

NPI: 1316487598
Provider Name (Legal Business Name): U & J FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2017
Last Update Date: 03/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17561 HILLSIDE AVE SUITE 403
JAMAICA NY
11432-5774
US

IV. Provider business mailing address

27 LAUREL DR
GREAT NECK NY
11021-2826
US

V. Phone/Fax

Practice location:
  • Phone: 347-426-7773
  • Fax: 516-570-6224
Mailing address:
  • Phone: 347-426-7773
  • Fax: 516-570-6224

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: KABIR AKHAND
Title or Position: PRESIDENT
Credential:
Phone: 347-426-7773