NPI 1003318312

Crystal Adult Social Day Care LLC

Organisation Adult Day Care Clinic/Center Jamaica, NY

Practice location

Address: 138-31 Queens Blvd, Jamaica, NY 11435
Phone: (718) 642-0011
Fax: (718) 558-9290
Mailing address: 13831 Queens Blvd, Jamaica, NY 11435-2641

Authorised official

Name: Svetlana Rakhman
Title: General Manager
Phone: (917) 674-5788

Registered specialties

Adult Day Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QA0600X

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Registry record

NPI: 1003318312
Entity type: Organization
NPI issued: 2 Mar 2018
Record last updated: 2 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.