Healthcare Provider Details

I. General information

NPI: 1497466254
Provider Name (Legal Business Name): METROPOLITAN SOCIAL ADULT DAYCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2022
Last Update Date: 12/12/2022
Certification Date: 12/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1968 2ND AVE FL 2
NEW YORK NY
10029-6305
US

IV. Provider business mailing address

225 CHERRY ST APT 40G
NEW YORK NY
10002-5584
US

V. Phone/Fax

Practice location:
  • Phone: 646-233-5211
  • Fax: 646-357-1860
Mailing address:
  • Phone: 917-414-2344
  • 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: MR. ILAN KREDLIK
Title or Position: PRESIDENT
Credential:
Phone: 917-414-2344