Healthcare Provider Details

I. General information

NPI: 1134055429
Provider Name (Legal Business Name): SAFARI ADULT DAYCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 FREDERICK DOUGLASS BLVD
NEW YORK NY
10026-1101
US

IV. Provider business mailing address

4 E 107TH ST APT 10C
NEW YORK NY
10029-4375
US

V. Phone/Fax

Practice location:
  • Phone: 917-554-0265
  • Fax:
Mailing address:
  • Phone: 917-554-0265
  • 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: MAYMUUNA BIRJEEB
Title or Position: CEO
Credential:
Phone: 917-554-0265