OrganizationActive
Dervish Social Adult Day Care Inc
NPI 1902592215 · Prevention Professional · Bronx, NY
Provider details
- NPI number
- 1902592215
- Entity type
- Organization
- Primary specialty
- Prevention ProfessionalOther Service Providers
- Organization subpart
- No
- Authorized official
- Jennifer Baden-Ahmed, Excitive Director(347) 925-8914
Specialties & taxonomies
Other Service Providers
Practice location
2060 Wallace Ave
Bronx, NY 10462-3006
Phone: (929) 293-4579
Fax: (718) 421-0003
Approximate (ZIP-level) locationGet directions
Mailing address
614 Richmond Rd
Staten Island, NY 10304-2410
Registry dates
- Enumerated
- 2023-04-11
- Last updated
- 2023-04-11
- Certified
- 2023-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.