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Organization

FIESTA ADULT DAYCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TATYANA ELBERG (ADMINISTRATOR)
(917) 865-6602
Entity
Organization

Contact information

Practice address
76 WEST BRIGHTON AVE, SUITE 202, BROOKLYN, NY 11224
(718) 996-0456
(718) 228-8999
Mailing address
76 WEST BRIGHTON AVE, SUITE 202, BROOKLYN, NY 11224
(718) 996-0456
(718) 228-8999

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Enumeration date
07/31/2012
Last updated
11/28/2023
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