Healthcare Provider Details

I. General information

NPI: 1215724109
Provider Name (Legal Business Name): ALL AMERICAN SOCIAL ADULT DAYCARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2025
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3711 57TH ST
WOODSIDE NY
11377-2439
US

IV. Provider business mailing address

1 BLACKSMITH LN
EAST NORTHPORT NY
11731-6330
US

V. Phone/Fax

Practice location:
  • Phone: 917-744-7308
  • Fax:
Mailing address:
  • Phone: 917-744-7308
  • 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: MR. TAMEEM HASAN AHMED
Title or Position: CEO
Credential:
Phone: 917-744-7308