Healthcare Provider Details
I. General information
NPI: 1174492391
Provider Name (Legal Business Name): HUB AT ELITE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/04/2025
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2826 LEMOYNE AVE
SYRACUSE NY
13211-1730
US
IV. Provider business mailing address
2826 LEMOYNE AVE
SYRACUSE NY
13211-1730
US
V. Phone/Fax
- Phone: 315-805-2000
- Fax:
- Phone: 315-805-2000
- Fax:
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:
GERSHON
STRASSER
Title or Position: PRESIDENT
Credential:
Phone: 732-547-9340