Graceful Aging Llc

NPI 1033557095 - Clinic/Center - 261QA0600X

NPI Details
NPI 1033557095
Enumeration Date 06/11/2013
Last Updated 06/11/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name ADEYINKA T ADEYINKA
Position CEO
Phone (917) 209-6283
Fax
Practice Location
881 MERRICK RD
BALDWIN NY, 11510-3331, US
Phone (917) 209-6283
Fax
Business Location
2620 CENTRAL AVE
BALDWIN NY, 11510-3648, US
Phone (516) 377-0057
Fax (516) 377-0057
Toxanomy
Taxonomy Code 261QA0600X
License State
License Number
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According to our database, Graceful Aging Llc NPI is 1033557095, taxonomy code is 261QA0600X Graceful Aging Llc physically located at 881 Merrick Rd, Baldwin NY, 11510-3331. NPI Number 1033115704 has the healthcare provider type.

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1033557095 NPI number is provided on an as is basis without warranty of any kind. 1033557095 is maintained by the National Plan & Provider Enumeration System. The contents of Graceful Aging Llc are for informational purposes only.