MEDICARE: SMILE SOCIAL DAYCARE 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	:	1679372601
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMILE SOCIAL DAYCARE INC

Provider Business Mailing Address
First Line	:	843 54TH ST FL 1
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-3208
Country	:	US
Telephone Number	:	347-365-4703
Fax Number	:

Provider Business Practice Location Address
First Line	:	843 54TH ST FL 1
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-3208
Country	:	US
Telephone Number	:	347-365-4703
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HAIFENG ZHANG
Credential	:
Telephone Number	:	929-592-9097

Provider Enumeration Date	:	03/11/2025
Last Update Date	:	03/11/2025

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