Organization
FIESTA ADULT DAYCARE OF STATEN ISLAND INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCILLE FINE (OWNER)
(929) 251-3812
Entity
Organization
Contact information
Practice address
1241 CASTLETON AVE, STATEN ISLAND, NY 10310-1713
(929) 251-3812
Mailing address
1241 CASTLETON AVE, STATEN ISLAND, NY 10310-1713
(929) 251-3812
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/02/2013
Last updated
04/24/2014
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