Organization
SUCASA ADULT DAY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI SYED (DIRECTOR)
(718) 909-9777
Entity
Organization
Contact information
Practice address
533 PORT RICHMOND AVE, STATEN ISLAND, NY 10302-1720
(718) 909-9777
Mailing address
533 PORT RICHMOND AVE, STATEN ISLAND, NY 10302-1720
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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