Healthcare Provider Details

I. General information

NPI: 1437341138
Provider Name (Legal Business Name): SUNNYSIDE COMMUNITY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2007
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4331 39TH ST
SUNNYSIDE NY
11104-4351
US

IV. Provider business mailing address

4331 39TH ST
SUNNYSIDE NY
11104-4351
US

V. Phone/Fax

Practice location:
  • Phone: 718-784-6173
  • Fax:
Mailing address:
  • Phone: 718-784-6173
  • 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: THERESA GREENBERG
Title or Position: ASSOCIATE EXECUTIVE DIRECTOR FOR CO
Credential:
Phone: 718-784-6173