Provider Demographics
NPI:1427332816
Name:NEW YORK GOLDEN EAGLE SENIOR CORP
Entity type:Organization
Organization Name:NEW YORK GOLDEN EAGLE SENIOR CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LIPING
Authorized Official - Middle Name:
Authorized Official - Last Name:LOBATO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-460-1888
Mailing Address - Street 1:3636 PRINCE ST FL 2
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-4002
Mailing Address - Country:US
Mailing Address - Phone:718-460-1888
Mailing Address - Fax:718-460-3888
Practice Address - Street 1:3636 PRINCE ST FL 2
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-4002
Practice Address - Country:US
Practice Address - Phone:718-460-1888
Practice Address - Fax:718-460-3888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service