Organization
TRINITY - ADULT DAY HEALTH CARE PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN REAGAN (ADMINISTRATOR)
(718) 345-2273
Entity
Organization
Contact information
Practice address
17261 BAISLEY BLVD, JAMAICA, NY 11434-2614
(718) 525-2997
(718) 525-7843
Mailing address
50 SHEFFIELD AVE, BROOKLYN, NY 11207-2420
(718) 345-2273
(718) 485-9236
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
7001364N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01283105-04
—
NY
Enumeration date
11/16/2006
Last updated
08/22/2020
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