PROMESA ADULT DAY HEALTH CARE; NPI #1043379332

Contact Information

PROMESA ADULT DAY HEALTH CARE

915 WESTCHESTER AVENUE
BRONX, NY 10457

Phone: 347-649-3083
Fax: 347-649-3090
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Adult Day Care	261QA0600X

Indicates primary specialty

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NPI Profile & details for PROMESA ADULT DAY HEALTH CARE

NPI Number 1043379332

LBN Legal business name PROMESA ADULT DAY HEALTH CARE

Authorized official MILTON DERIENZO - (CHIEF FINANCIAL OFFICIER)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 12/06/2006

Last updated 07/02/2018 - About 8 years ago

Identifiers

Medicaid

02357688

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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