MEDICARE: BRIGHT SUN ADULT DAY CARE INC.

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	:	1467986539
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHT SUN ADULT DAY CARE INC.

Provider Business Mailing Address
First Line	:	2513 E 19TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3519
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2513 E 19TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3519
Country	:	US
Telephone Number	:	917-825-8350
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MELISSA LIANG
Credential	:
Telephone Number	:	917-825-8350

Provider Enumeration Date	:	04/16/2017
Last Update Date	:	04/16/2017

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