Organization
FIESTA ADULT DAYCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATYANA F ELBERG (ADMINISTRATOR)
(718) 996-0456
Entity
Organization
Contact information
Practice address
2200 VICTORY BLVD FL 2, STATEN ISLAND, NY 10314-6624
(718) 814-0555
(718) 228-8999
Mailing address
2200 VICTORY BLVD FL 2, STATEN ISLAND, NY 10314-6624
(718) 814-0555
(718) 228-8999
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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