Healthcare Provider Details

I. General information

NPI: 1386506996
Provider Name (Legal Business Name): MAJESTIC SENIOR CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2707 HYLAN BLVD
STATEN ISLAND NY
10306-4657
US

IV. Provider business mailing address

2707 HYLAN BLVD
STATEN ISLAND NY
10306-4657
US

V. Phone/Fax

Practice location:
  • Phone: 347-529-9329
  • Fax:
Mailing address:
  • Phone: 347-529-9329
  • 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: JULIA MALKES
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 347-529-9329