# FIESTA ADULT DAYCARELLC

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

## Provider details

- **NPI number:** 1518830850
- **Authorized official:** MS. TATIANA ELBERG (ADMINISTRATOR)
- **Authorized official phone:** (718) 996-0456

## Contact information

- **Practice address:** 76 W BRIGHTON AVE STE 203, BROOKLYN, NY 11224-4907
- **Practice address phone:** (718) 996-0456
- **Practice address fax:** (718) 228-8999
- **Mailing address:** 76 W BRIGHTON AVE STE 203, BROOKLYN, NY 11224-4907
- **Mailing address phone:** (718) 996-0456
- **Mailing address fax:** (718) 228-8999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | — | NULL | Yes |

## Other

- **Enumeration date:** 09/24/2025
- **Last updated:** 09/24/2025