Healthcare Provider Details

I. General information

NPI: 1891353215
Provider Name (Legal Business Name): FIRST HC YONKERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2019
Last Update Date: 05/31/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 NEPPERHAN AVE FL 2
YONKERS NY
10703-2857
US

IV. Provider business mailing address

4557 ROUTE 9 N
HOWELL NJ
07731-3382
US

V. Phone/Fax

Practice location:
  • Phone: 732-886-1900
  • Fax:
Mailing address:
  • Phone: 732-886-1900
  • Fax: 732-886-1950

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: YAAKOV FRIEDMAN
Title or Position: MANAGING MEMBER
Credential:
Phone: 732-886-1900