MEDICARE: 3RD AVENUE SADC CORP

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	:	1609518372
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	3RD AVENUE SADC CORP

Provider Business Mailing Address
First Line	:	9 VANDERBILT CT
Second Line	:
City	:	OLD BRIDGE
State	:	NJ
Zip	:	08857-4401
Country	:	US
Telephone Number	:	646-255-7929
Fax Number	:

Provider Business Practice Location Address
First Line	:	2929 3RD AVE FL 2
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10455-2606
Country	:	US
Telephone Number	:	646-255-7929
Fax Number	:

Authorized Official
Title or Position	:	OFFICER
Name	:	ANNA SHTEYNBERG
Credential	:
Telephone Number	:	646-255-7929

Provider Enumeration Date	:	04/12/2022
Last Update Date	:	03/05/2026

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Directions to “3RD AVENUE SADC CORP ” Practice Location

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