| Organization Name: | FOREST DAY CARE SOCIAL PROGRAM |
| NPI Number: | 1215277587 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELLEN GORDON (DIRECTOR) |
| Mailing Address: | 457 Doughty Blvd Inwood |
| State: | NY US |
| Postal Code: | 110961344 |
| Phone Number: | 5162391111 |
| Fax Number: | 5163711714 |
| NPI Enumeration Date: | 02/25/2013 |
| NPI Last Update Date: | 02/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |