FOUNTAIN OF YOUTH

STATEN ISLAND, NY
NPI1144630963
Entity TypeOrganization
Authorized ContactBRENT ALEXANDER
President
718-667-8521
Organization Subpart ?No
Primary Taxonomy261QA0600X Clinic/Center, Adult Day Care
Enumeration Date2014-05-01
Last Update Date2014-05-01
Business Address
FOUNTAIN OF YOUTH
26 DUMONT AVE
STATEN ISLAND, NY 10305-1450
Phone number: 718-667-8510
Mailing Address
FOUNTAIN OF YOUTH
26 DUMONT AVE
STATEN ISLAND, NY 10305-1450
Phone number: 718-667-8510
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