Healthcare Provider Details

I. General information

NPI: 1871932517
Provider Name (Legal Business Name): NAN SENIOR DAYCARE CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2013
Last Update Date: 06/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

254 CANAL ST SUITE 3005
NEW YORK NY
10013-3501
US

IV. Provider business mailing address

254 CANAL ST SUITE 3005
NEW YORK NY
10013-3501
US

V. Phone/Fax

Practice location:
  • Phone: 212-267-0778
  • Fax:
Mailing address:
  • Phone: 212-267-0778
  • 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. NELSON SHEK
Title or Position: CEO
Credential:
Phone: 212-267-0778