Organization
BRIGHTSIDE ADULT CENTER CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HISHAM HADIDI (PRESIDENT)
(917) 319-8392
Entity
Organization
Contact information
Practice address
2801 EMMONS AVE, BROOKLYN, NY 11235-2205
(917) 319-8392
(718) 979-0415
Mailing address
66 JACQUES AVE, STATEN ISLAND, NY 10306-3026
(917) 319-8392
(718) 979-0415
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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