Healthcare Provider Details

I. General information

NPI: 1477802577
Provider Name (Legal Business Name): GENESIS ADULT DAYCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2012
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11430 ROCKAWAY BEACH BLVD UNIT 2
ROCKAWAY PARK NY
11694-2385
US

IV. Provider business mailing address

11430 ROCKAWAY BEACH BLVD UNIT 2
ROCKAWAY PARK NY
11694-2385
US

V. Phone/Fax

Practice location:
  • Phone: 718-634-4013
  • Fax: 718-559-6771
Mailing address:
  • Phone: 718-634-4013
  • Fax: 718-559-6771

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: MOISHE J OIRING
Title or Position: CEO
Credential:
Phone: 718-634-4013