Organization
ALL BORO COMMUNITY ADULT DAY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DMITRY TSEPENYUK (PRESIDENT)
(917) 819-3301
Entity
Organization
Contact information
Practice address
2595 WEBSTER AVE, BRONX, NY 10458-4806
(917) 819-3301
Mailing address
2595 WEBSTER AVE, BRONX, NY 10458-4806
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/20/2012
Last updated
07/20/2012
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