Healthcare Provider Details

I. General information

NPI: 1467242289
Provider Name (Legal Business Name): HAPPY DAY NYC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

2118 1ST AVE
NEW YORK NY
10029-3302
US

IV. Provider business mailing address

2118 1ST AVE
NEW YORK NY
10029-3302
US

V. Phone/Fax

Practice location:
  • Phone: 212-995-1234
  • Fax: 212-532-9999
Mailing address:
  • Phone: 212-995-1234
  • Fax: 212-532-9999

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: FARLLYN DISLA
Title or Position: SECRETARY
Credential:
Phone: 212-995-1234