Organization
INTEGRATED ADULT DAY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIRLEY MANSUKHANI DPT (CEO)
(917) 981-9551
Entity
Organization
Contact information
Practice address
125 N 5TH ST, NEW HYDE PARK, NY 11040-2926
(917) 981-9551
Mailing address
125 N 5TH ST, NEW HYDE PARK, NY 11040-2926
(917) 981-9551
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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