Healthcare Provider Details

I. General information

NPI: 1841530573
Provider Name (Legal Business Name): GOLDEN TOWN ADULT DAY CARE CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2013
Last Update Date: 02/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 CANAL ST 2ND FLOOR
NEW YORK NY
10002-6020
US

IV. Provider business mailing address

99 CANAL ST 2ND FLOOR
NEW YORK NY
10002-6020
US

V. Phone/Fax

Practice location:
  • Phone: 212-966-6809
  • Fax:
Mailing address:
  • Phone:
  • 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: DANIEL LAM
Title or Position: MANAGER
Credential:
Phone: 917-686-8106