MEDICARE: NACHAS SOCIAL DAYCARE CENTER 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	:	1962864736
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NACHAS SOCIAL DAYCARE CENTER INC

Provider Business Mailing Address
First Line	:	282 WALLABOUT ST
Second Line	:	2A
City	:	BROOKLYN
State	:	NY
Zip	:	11206-4924
Country	:	US
Telephone Number	:	718-930-1973
Fax Number	:

Provider Business Practice Location Address
First Line	:	1310 48TH ST
Second Line	:	#4
City	:	BROOKLYN
State	:	NY
Zip	:	11219-3153
Country	:	US
Telephone Number	:	718-930-1973
Fax Number	:

Authorized Official
Title or Position	:	COE
Name	:	ARON GREENFELD
Credential	:
Telephone Number	:	718-930-1973

Provider Enumeration Date	:	03/22/2016
Last Update Date	:	03/22/2016

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