Organization
LONG LIFE ADULT DAY CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YELENA KORENFELD M.D. (OWNER)
(201) 943-7111
Entity
Organization
Contact information
Practice address
596 ANDERSON AVE, SUITE 110, CLIFFSIDE PARK, NJ 07010-1831
(201) 943-7111
(201) 943-8859
Mailing address
596 ANDERSON AVE, SUITE 110, CLIFFSIDE PARK, NJ 07010-1831
(201) 943-7111
(201) 943-8859
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058100
STATE LICENSE NUMBER
NJ
05
—
8117900
—
NJ
Enumeration date
02/12/2007
Last updated
08/22/2020
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