Provider Demographics
NPI:1962781773
Name:MILL BASIN DAYCARE CENTER, LLC
Entity type:Organization
Organization Name:MILL BASIN DAYCARE CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:ZINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-909-6200
Mailing Address - Street 1:2786 E 66TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-6807
Mailing Address - Country:US
Mailing Address - Phone:718-909-6200
Mailing Address - Fax:718-763-0401
Practice Address - Street 1:2786 E 66TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-6807
Practice Address - Country:US
Practice Address - Phone:718-909-6200
Practice Address - Fax:718-763-0401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-10
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY082965-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty