MEDICARE: ASIAN SENIOR DAY CARE 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	:	1992081764
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASIAN SENIOR DAY CARE CORP.

Provider Business Mailing Address
First Line	:	6506 BAY PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-3931
Country	:	US
Telephone Number	:	917-807-4342
Fax Number	:

Provider Business Practice Location Address
First Line	:	6506 BAY PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-3931
Country	:	US
Telephone Number	:	917-807-4342
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	WAI LUN CHAN
Credential	:
Telephone Number	:	646-234-9911

Provider Enumeration Date	:	10/25/2011
Last Update Date	:	03/13/2019

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