Healthcare Provider Details

I. General information

NPI: 1528843109
Provider Name (Legal Business Name): ALL SENIOR SERVICES CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2023
Last Update Date: 01/03/2025
Certification Date: 01/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 OAK ST
ORANGEBURG NY
10962-2123
US

IV. Provider business mailing address

10 OAK ST
ORANGEBURG NY
10962-2123
US

V. Phone/Fax

Practice location:
  • Phone: 845-287-9555
  • Fax:
Mailing address:
  • Phone: 845-287-9555
  • Fax:

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: SHITAL PATEL
Title or Position: ADMINISTRATOR
Credential:
Phone: 845-359-2100