Healthcare Provider Details

I. General information

NPI: 1013258821
Provider Name (Legal Business Name): SOCIAL ADULT DAY CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2013
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

617 W 181ST ST FRNT 3
NEW YORK NY
10033-4937
US

IV. Provider business mailing address

617 W 181ST ST FRNT 3
NEW YORK NY
10033-4937
US

V. Phone/Fax

Practice location:
  • Phone: 646-918-9393
  • Fax: 917-210-4097
Mailing address:
  • Phone: 646-918-9393
  • 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: COURTNEY RIOZZI
Title or Position: PRESIDENT
Credential:
Phone: 646-918-9393