Organization
ACCOLADE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADEWALE OSINUGA (ADMINISTRATOR)
(646) 633-6375
Entity
Organization
Contact information
Practice address
2015 FOREST AVE STE C3, STATEN ISLAND, NY 10303-1736
(646) 633-6375
(718) 390-0500
Mailing address
573 CARY AVE, STATEN ISLAND, NY 10310-1902
(718) 675-9655
(718) 816-0373
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
2421L
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2016052313054695201
OMIG
NY
Enumeration date
05/24/2016
Last updated
03/13/2024
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