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NPI Code Detail

MEDICARE: DAY AT A TIME

MEDICARE: DAY AT A TIME
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

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871697417
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAY AT A TIME
Provider Business Mailing Address
First Line : 22 VAN DUZER PL
Second Line :
City : WARWICK
State : NY
Zip : 10990-1014
Country : US
Telephone Number : 845-987-5710
Fax Number : 845-987-1398
Provider Business Practice Location Address
First Line : 22 VAN DUZER PL
Second Line :
City : WARWICK
State : NY
Zip : 10990-1014
Country : US
Telephone Number : 845-987-5710
Fax Number : 845-987-1398
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. LISA BROCKY
Credential :
Telephone Number : 845-987-5710
Provider Enumeration Date : 09/12/2006
Last Update Date : 01/12/2013

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Directions to “DAY AT A TIME ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.