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Si. Senior Lifestyle Center INC

Clinic/Center, Adult Day Care in Staten Island, NY. Organization (NPI-2).

NPI number1760723621
StatusActive
Last updated in NPPESMar 1, 2013

Details

NPI
1760723621
Entity type
Organization (NPI-2)
Legal business name
Si. Senior Lifestyle Center INC
Organization subpart
No
Enumeration date
Mar 1, 2013
Last updated
Mar 1, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QA0600X Clinic/Center, Adult Day Care––Yes

Practice location

98 Port Richmond Ave
Staten Island, NY 10302

Phone 718-273-6200

Mailing address

98 Port Richmond Ave
Staten Island, NY 10302

Phone 718-273-6200

Authorized official

Joyce Cen
President
7182736200

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