Second Home of Long Island LLC
NPI #1073936258 in Queens Village, New York
Provider Information
- NPI Number
- 1073936258
- Entity Type
- Organization
- Organization Name
- Second Home of Long Island LLC
- Primary Specialty
- Clinic/Center - Adult Day Care
- Enumeration Date
- Jan 24, 2014
- Last Updated
- Dec 17, 2025
Practice Location
- Address
- 22005 JAMAICA AVE
- City
- Queens Village
- State
- New York
- ZIP Code
- 11428-2140
- Phone
- (516) 590-0022
Authorized Official
- Name
- JEAN PIERRE
- Title
- ADMINISTRATOR
- Phone
- (516) 590-0022
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Day Care — Adult Day Care |
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