Healthcare Provider Details

I. General information

NPI: 1619645793
Provider Name (Legal Business Name): HUB AT ELITE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2021
Last Update Date: 09/02/2021
Certification Date: 09/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

919 CULVER RD
ROCHESTER NY
14609-7141
US

IV. Provider business mailing address

1967 MCDONALD AVE
BROOKLYN NY
11223-1838
US

V. Phone/Fax

Practice location:
  • Phone: 585-384-2000
  • Fax:
Mailing address:
  • Phone: 718-925-2525
  • 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. GERSHON STRASSER
Title or Position: CEO
Credential:
Phone: 585-384-2000