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Organization
FIESTA ADULT DAYCARELLC
Active
Organization
FIESTA ADULT DAYCARELLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TATIANA ELBERG (ADMINISTRATOR)
(718) 996-0456
Entity
Organization
Contact information
Practice address
76 W BRIGHTON AVE STE 203, BROOKLYN, NY 11224-4907
(718) 996-0456
(718) 228-8999
Mailing address
76 W BRIGHTON AVE STE 203, BROOKLYN, NY 11224-4907
(718) 996-0456
(718) 228-8999
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
—
NULL
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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