Organization
TRI-STATE ADULT DAY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR PRASAD (OWNER)
(917) 651-4003
Entity
Organization
Contact information
Practice address
114-12 125 STREET, SOUTH OZONE PARK, NY 11420
(917) 651-4003
Mailing address
114-12 125 STREET, SOUTH OZONE PARK, NY 11420
(917) 651-4003
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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