# SI.SENIOR LIFESTYLE CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457888935
- **Authorized official:** MRS. CHUN X JIANG (DIRECTOR)
- **Authorized official phone:** (718) 496-1111

## Contact information

- **Practice address:** 98 PORT RICHMOND AVE, STATEN ISLAND, NY 10302-1344
- **Practice address phone:** (718) 496-1111
- **Mailing address:** 98 PORT RICHMOND AVE, STATEN ISLAND, NY 10302-1344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 05/16/2017
- **Last updated:** 05/16/2017