Healthcare Provider Details

I. General information

NPI: 1649519125
Provider Name (Legal Business Name): SUNNY ADULT DAY CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2013
Last Update Date: 07/25/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 MONROE STREET FL 2
NEW YORK NY
10002
US

IV. Provider business mailing address

223 DOANE AVE
STATEN ISLAND NY
10308
US

V. Phone/Fax

Practice location:
  • Phone: 516-362-3338
  • Fax: 516-362-3339
Mailing address:
  • Phone: 646-457-6823
  • Fax: 718-228-7007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: HONG HE LIN
Title or Position: PRESIDENT
Credential:
Phone: 646-457-6823