Healthcare Provider Details
I. General information
NPI: 1407516016
Provider Name (Legal Business Name): KOLPONA ADULT DAYCARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/22/2021
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9142 LEFFERTS BLVD
RICHMOND HILL NY
11418-3220
US
IV. Provider business mailing address
7601 101ST AVE
OZONE PARK NY
11416-1931
US
V. Phone/Fax
- Phone: 631-530-6518
- Fax:
- Phone: 917-328-2239
- Fax: 347-519-3255
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NAJIMA
BEGUM
Title or Position: PRESIDENT
Credential:
Phone: 917-328-2239