| NPI | 1972018232 |
|---|---|
| Other Name | LAKESIDE ADULT DAY CARE |
| Entity Type | Organization |
| Authorized Contact | NATHAN ZELCER Controller 718-927-6346 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2017-12-08 |