Organization
PROMESA ADULT DAY HEALTH CARE
Active
Parent organization
PROMESA RESIDENTIAL HEALTHCARE FACILITY, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROMESA RESIDENTIAL HEALTHCARE FACILITY, INC
Authorized official
MR. MILTON DERIENZO (CHIEF FINANCIAL OFFICIER)
(347) 649-3083
Entity
Organization
Contact information
Practice address
915 WESTCHESTER AVENUE, BRONX, NY 10457
(347) 649-3083
(347) 649-3090
Mailing address
308 EAST 175TH STREET, BRONX, NY 10457
(347) 649-3083
(347) 649-3090
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02357688
—
NY
Enumeration date
12/06/2006
Last updated
07/02/2018
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