Healthcare Provider Details

I. General information

NPI: 1801239371
Provider Name (Legal Business Name): PARK AVENUE ADULT DAY CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2013
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1916 PARK AVE STE 102
NEW YORK NY
10037-0978
US

IV. Provider business mailing address

1382 E 19TH ST
BROOKLYN NY
11230-6104
US

V. Phone/Fax

Practice location:
  • Phone: 718-501-2881
  • Fax: 646-684-4948
Mailing address:
  • Phone: 718-501-2881
  • Fax: 646-684-4948

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: MRS. RIVKA EHRMAN
Title or Position: DIRECTOR
Credential:
Phone: 718-501-2881