Healthcare Provider Details

I. General information

NPI: 1467866244
Provider Name (Legal Business Name): KEY TO LIFE ADULT DAYCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2014
Last Update Date: 06/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

229 E 2ND ST UNIT 1A
NEW YORK NY
10009-7070
US

IV. Provider business mailing address

229 E 2ND ST UNIT 1A
NEW YORK NY
10009-7070
US

V. Phone/Fax

Practice location:
  • Phone: 646-791-5282
  • Fax: 646-791-5285
Mailing address:
  • Phone: 646-791-5282
  • Fax: 646-791-5285

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: HENRICH CHIGIRINSKY
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 646-791-5282