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NPI Code Detail

MEDICARE: BAINBRIDGE ADULT DAY CARE CENTER I, LLC

MEDICARE: BAINBRIDGE ADULT DAY CARE CENTER I, 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
1261QA0600XAdult Day Care Clinic/Center

General Provider Information

NPI Number : 1689920811
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAINBRIDGE ADULT DAY CARE CENTER I, LLC
Provider Business Mailing Address
First Line : 3093 OCEAN AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-3405
Country : US
Telephone Number : 718-891-2345
Fax Number :
Provider Business Practice Location Address
First Line : 3093 OCEAN AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-3405
Country : US
Telephone Number : 718-891-2345
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF FINANCE
Name : MR. BENJAMIN S FELDMAN
Credential :
Telephone Number : 718-655-1700
Provider Enumeration Date : 07/25/2012
Last Update Date : 07/25/2012

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Directions to “BAINBRIDGE ADULT DAY CARE CENTER I, LLC ” Practice Location

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