Healthcare Provider Details

I. General information

NPI: 1821921420
Provider Name (Legal Business Name): BROOKLYN SOCIAL ADULT DAY CARE CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1631 MAIN ST
NIAGARA FALLS NY
14305-2523
US

IV. Provider business mailing address

16001 84TH AVE
JAMAICA NY
11432-1713
US

V. Phone/Fax

Practice location:
  • Phone: 718-200-6130
  • Fax:
Mailing address:
  • Phone: 718-200-6130
  • 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: MS. TANZINA RAHMAN
Title or Position: CONSULTANT
Credential: AO
Phone: 718-200-6130