Provider Demographics
NPI:1124663596
Name:FORTUNE SOCIAL DAYCARE CENTER INC.
Entity type:Organization
Organization Name:FORTUNE SOCIAL DAYCARE CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FUIY WING
Authorized Official - Middle Name:
Authorized Official - Last Name:SIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-536-2628
Mailing Address - Street 1:2402 86TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-4466
Mailing Address - Country:US
Mailing Address - Phone:718-536-2628
Mailing Address - Fax:718-536-2627
Practice Address - Street 1:2402 86TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-4466
Practice Address - Country:US
Practice Address - Phone:718-536-2628
Practice Address - Fax:718-536-2627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-08
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care