MEDICARE: AARON & NOAH SOCIAL ADULT DAY CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1114468469
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AARON & NOAH SOCIAL ADULT DAY CARE LLC

Provider Business Mailing Address
First Line	:	36 TWIN POND LN
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10607-2400
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	36 TWIN POND LN
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10607-2400
Country	:	US
Telephone Number	:	917-733-2272
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	MR. RICHARD TRICARIO
Credential	:
Telephone Number	:	917-733-2272

Provider Enumeration Date	:	03/19/2017
Last Update Date	:	03/19/2017

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