Healthcare Provider Details

I. General information

NPI: 1053843243
Provider Name (Legal Business Name): GOLDEN ERA SOCIAL ADULT DAY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2017
Last Update Date: 04/17/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3863 10TH AVE 2ND FLOOR
NEW YORK NY
10034-1849
US

IV. Provider business mailing address

3863 10TH AVE 2ND FLOOR
NEW YORK NY
10034-1849
US

V. Phone/Fax

Practice location:
  • Phone: 212-796-4500
  • Fax: 646-809-4300
Mailing address:
  • Phone: 212-796-4500
  • Fax: 646-809-4300

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: ELIZABETH D URENA
Title or Position: EXECUTIVE DIRECTOR
Credential: MPA
Phone: 914-775-9545