Healthcare Provider Details

I. General information

NPI: 1013555606
Provider Name (Legal Business Name): PARTNERS IN AGING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2019
Last Update Date: 12/14/2019
Certification Date: 12/14/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5802 37TH AVE
WOODSIDE NY
11377-2405
US

IV. Provider business mailing address

3548 35TH ST APT 3F
ASTORIA NY
11106-1600
US

V. Phone/Fax

Practice location:
  • Phone: 646-515-9192
  • Fax:
Mailing address:
  • Phone:
  • 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: ARLENE TRAMBULO
Title or Position: RN
Credential:
Phone: 646-515-9192