=====================================================
General NPI Number Information
=====================================================
NPI Number | 1902555477
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PASWO SOCIAL ADULT DAY CARE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/22/2022
-----------------------------------------------------
Last Update Date | 03/22/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2182 FLATBUSH AVE FL 2
-----------------------------------------------------
City | BROOKLYN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11234-4326
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 347-462-4068
-----------------------------------------------------
Fax | 347-462-4069
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2182 FLATBUSH AVE FL 2
-----------------------------------------------------
City | BROOKLYN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11234-4326
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 347-633-7891
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE DIRECTOR
-----------------------------------------------------
Name | MR. IFTIKHAR AHMED
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 347-633-7891
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QA0600X
-----------------------------------------------------
Taxonomy Name | Adult Day Care Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------