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Organization

SU CASA ADULT DAY CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NAQI A. SYED (MANAGER)
(718) 448-3898
Entity
Organization

Contact information

Practice address
533 PORT RICHMOND AVE, STATEN ISLAND, NY 10302-1720
(718) 448-3898
(718) 442-3986
Mailing address
533 PORT RICHMOND AVE, STATEN ISLAND, NY 10302-1720
(718) 448-3898
(718) 442-3986

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Enumeration date
07/23/2013
Last updated
07/23/2013
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